| NPI | 1053367672 |
|---|---|
| Doing Business As | SHAWS PHARMACY #2601 |
| Entity Type | Organization |
| Authorized Contact | KATHY GIANNAKOPOULOS Enrollment Manager 208-395-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NH 0603P) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-07-09 |