Osco Pharmacy #4560
LBN: Shaws Supermarkets Inc
Osco Pharmacy #4560 is an health care organization with primary practice located at 1364 Main St , Sanford ME 04073. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Shaws Supermarkets Inc can be contacted via phone (207) 490-3562, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
1364 Main St
Sanford ME 04073
Phone: (207) 490-3562
Fax: (207) 490-5741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50001470 | Maine |
Profile Details
| NPI number | 1295781722 |
|---|---|
| LBN Legal business name | Shaws Supermarkets Inc |
| DBA Doing business as | Osco Pharmacy #4560 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jun 27th, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295781722 | NPPES |
| Other | 2037564 | PK | |
| MEDICAID | 148820008 | PK | |
| MEDICAID | 999111086 | PK |
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