Organization
SHAWS SUPERMARKETS INC
Active
Other names
OSCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
610 MIDDLE ST, WEYMOUTH, MA 02189-1130
(781) 803-4003
(781) 803-4006
Mailing address
610 MIDDLE ST, WEYMOUTH, MA 02189-1130
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3354
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406872
—
MA
01
—
2240707
OTHER ID NUMBER
—
Enumeration date
05/26/2006
Last updated
11/21/2007
About Stedi
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