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NPI Code Detail

MEDICARE: SHOP N SAVE MASS INC

MEDICARE: SHOP N SAVE MASS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy0398PNH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13005003OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699883074
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHOP N SAVE MASS INC
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : PORTLAND
State : ME
Zip : 04104-5005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 73 FORT EDDY RD
Second Line :
City : CONCORD
State : NH
Zip : 03301-7405
Country : US
Telephone Number : 603-228-2121
Fax Number : 603-223-9702
Authorized Official
Title or Position : VICE PRESIDENT
Name : MILLARD NANCE
Credential :
Telephone Number : 207-885-2348
Provider Enumeration Date : 08/27/2006
Last Update Date : 04/29/2009

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Directions to “SHOP N SAVE MASS INC ” Practice Location

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