Osco Pharmacy #4556
LBN: Shaws Supermarkets Inc
Osco Pharmacy #4556 is an health care organization with primary practice located at 353 Main St , Bangor ME 04401. 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) 945-6550, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
353 Main St
Bangor ME 04401
Phone: (207) 945-6550
Fax: (207) 945-3361
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | PH50001480 | Maine |
Profile Details
NPI number | 1841246378 |
---|---|
LBN Legal business name | Shaws Supermarkets Inc |
DBA Doing business as | Osco Pharmacy #4556 |
Authorized official | Eliopulos, Tiffany |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 26th, 2006 |
Last updated | Jun 27th, 2018 - about 6 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 | 1841246378 | NPPES |
Other | 2037445 | PK | |
MEDICAID | 999020299 | PK | |
MEDICAID | 148820001 | PK |
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