Whalio Doctors

NPI 1043266414

Shaws Supermarkets INC

Organisation Community/Retail Pharmacy Manchester Center, VT

Practice location

Address
64 Equinox Terrace, Manchester Center, VT 05255
Phone
(802) 362-2433
Fax
(802) 362-2571
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 0380003320 (VT)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1043266414
Entity type
Organization
NPI issued
26 May 2006
Record last updated
23 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.