Shaws Supermarkets INC
Pharmacy, Community/Retail Pharmacy in Waterville, ME. Organization (NPI-2).
NPI number1013963545
StatusActive
Last updated in NPPESOct 1, 2024
Details
- NPI
- 1013963545
- Entity type
- Organization (NPI-2)
- Legal business name
- Shaws Supermarkets INC
- Organization subpart
- No
- Enumeration date
- May 26, 2006
- Certification date
- Oct 1, 2024
- Last updated
- Oct 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PH50001482 | ME | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Shaws Pharmacy #3551 (Doing Business As)
Practice location
251 Kennedy Memorial DrWaterville, ME 04901
Phone 207-680-3001 · Fax 207-680-3011
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enroll Mgr
2083953954
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All 8 Community/Retail Pharmacy providers in Waterville · All 1,104 providers in Waterville
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