Whalio Doctors

NPI 1023064045

Shaws Supermarkets INC

Organisation Community/Retail Pharmacy Manchester, CT

Practice location

Address
425 Broad St, Manchester, CT 06040-4035
Phone
(860) 643-3477
Fax
(860) 643-3472
Mailing address
3030 Cullerton St, Franklin Park, IL 60131-2205

Authorised official

Name
Demond Hawkins
Title
Third Party Manager
Phone
(208) 395-3905

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PCY0001552 (CT)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1023064045
Entity type
Organization
NPI issued
25 May 2006
Record last updated
22 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.