Osco Pharmacy #0057
LBN: Shaws Supermarkets Inc
Osco Pharmacy #0057 is an health care organization with primary practice located at 175 High St , Ellsworth ME 04605. 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) 669-3005, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
175 High St
Ellsworth ME 04605
Phone: (207) 669-3005
Fax: (207) 669-3013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50001479 | Maine |
Profile Details
| NPI number | 1568418093 |
|---|---|
| LBN Legal business name | Shaws Supermarkets Inc |
| DBA Doing business as | Osco Pharmacy #0057 |
| Authorized official | Eliopulos, Tiffany |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jun 27th, 2018 - about 7 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 | 1568418093 | NPPES |
| Maine | MEDICAID | 144820015 | |
| Maine | Other | 2037587 |
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