Home » Idaho » 05676 » Shaws Supermarket Inc

Shaws Supermarket Inc

Shaws Supermarket Inc is a health care provider in Boise, ID. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 820 Waterbury Stowe Rd, Waterbury, VT 05676-9730, US
Practice Location Phone802-241-4115
Practice Location Fax802-244-7994
Legal Business NameSHAWS SUPERMARKET INC
Other Organization NameOSCO PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1952357329
Entity TypeOrganization
Enumeration Date ? May 26, 2006
Last Update Date ? Jan 8, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Shaws Supermarket Inc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
Pharmacy
PharmacyCommunity/Retail Pharmacy 038.0093615Vermont

legacy-id-icon Legacy Provider IDs of Shaws Supermarket Inc

Provider IdIssuer StateIssuer TypeIssuer
2101732OtherPK
0994260116Medicare Nsc
1012365VermontMedicaid

official-icon Authorized Official of Shaws Supermarket Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Shaws Supermarket Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Sunny Yost
Authorized Official Title/PositionASST MGR, THIRD PARTY IMPLEMENTATIO
Authorized Official Phone Number208-395-3920