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
110 ALBANY TPKE # A, CANTON, CT 06019-2547
(860) 693-9774
(860) 693-3899
Mailing address
110 ALBANY TPKE # A, CANTON, CT 06019-2547
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1876
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0719902
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/25/2006
Last updated
11/21/2007
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