NPI 1255182622
Shaws Supermarkets INC
Practice location
- Address
- 213 Main St, Ludlow, VT 05149-1009
- Phone
- (802) 228-2402
- Fax
- (802) 419-6276
- Mailing address
- 250 E Parkcenter Blvd, Boise, ID 83706-3940
Authorised official
- Name
- Kathy Giannakopoulos
- Title
- Enrollment Manager
- Phone
- (208) 395-3954
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1255182622
- Entity type
- Organization
- NPI issued
- 1 Apr 2024
- Record last updated
- 7 May 2024
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.