Organization
SHAWS SUPERMARKETS INC
Active
Parent organization
SUPERVALU INC
Other names
OSCO PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPERVALU INC
Authorized official
MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
33 LAFAYETTE RD, UNIT 4, NORTH HAMPTON, NH 03862
(603) 964-1322
(603) 964-2186
Mailing address
33 LAFAYETTE RD, UNIT 4, NORTH HAMPTON, NH 03862
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0627P
NH
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006803
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
30702078
—
NH
Enumeration date
05/26/2006
Last updated
01/30/2008
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