Organization
SHAWS SUPERMARKETS INC
Active
Other names
SHAWS 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
201 GRAFTON ST, WORCESTER, MA 01604-4904
(508) 753-6408
(508) 754-1753
Mailing address
201 GRAFTON ST, WORCESTER, MA 01604-4904
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
3332
MA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406449
—
MA
01
—
2240543
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/26/2006
Last updated
09/11/2025
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