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
100 FRANKLIN ST, WESTERLY, RI 02891-3152
(401) 348-8323
(401) 596-1242
Mailing address
312 FARMINGTON AVE, FARMINGTON, CT 06032-1913
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHA00348
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4105929
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
SS18733
—
RI
Enumeration date
05/25/2006
Last updated
11/21/2007
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