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Shaws Supermarkets Inc

Shaws Supermarkets 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 SUPERMARKETS INC
Other Organization NameOSCO PHARMACY #0649
Other Organization Name Type0
NPI ?1952357329
Entity TypeOrganization
Enumeration Date ? May 26, 2006
Last Update Date ? Apr 25, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Shaws Supermarkets Inc

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

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

Provider IdIssuer StateIssuer TypeIssuer
2101732OtherPK
1012365VermontMedicaid

official-icon Authorized Official of Shaws Supermarkets Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Shaws Supermarkets 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 Demond Hawkins
Authorized Official Title/PositionTHIRD PARTY MANAGER
Authorized Official Phone Number208-395-3905