Shaws Supermarkets INC
Pharmacy, Community/Retail Pharmacy in Brockton, MA. Organization (NPI-2).
NPI number1821044355
StatusActive
Last updated in NPPESJul 3, 2024
Details
- NPI
- 1821044355
- Entity type
- Organization (NPI-2)
- Legal business name
- Shaws Supermarkets INC
- Organization subpart
- No
- Enumeration date
- May 26, 2006
- Certification date
- Jul 3, 2024
- Last updated
- Jul 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | DS3159 | MA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Shaws Pharmacy #1429 (Doing Business As)
Practice location
641 Belmont StBrockton, MA 02301
Phone 508-584-8520 · Fax 508-580-3869
Mailing address
250 E Parkcenter BlvdMailstop Sec2-B
Boise, ID 83706-3940
Phone 208-395-6200
Authorized official
Kathy Giannakopoulos
Enrollment Manager
2083953932
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All 12 Community/Retail Pharmacy providers in Brockton · All 5,090 providers in Brockton
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