Organization
SHAWS SUPERMARKETS INC
Active
Other names
SHAWS PHARMACY #3548
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLL MGR)
(208) 395-3954
Entity
Organization
Contact information
Practice address
235 CAMDEN ST, ROCKLAND, ME 04841
(207) 594-8070
(207) 594-8066
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50001469
ME
Other
Enumeration date
05/26/2006
Last updated
10/01/2024
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