Shopko Stores Operating Co Llc in Lacey - Durable Medical Equipment & Medical Supplies
Shopko Stores Operating Co Llc - NPI 1962442392
Shopko Stores Operating Co Llc is a Durable Medical Equipment & Medical Supplies in Lacey, Washington. Shopko Stores Operating Co Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Shopko Stores Operating Co Llc is 1962442392. The last update date is 2008-08-14.
Shopko Stores Operating Co Llc's current location address is 5500 Martin Way E, Lacey, Washington. You can contact this provider via phone number 3604564057 and fax number 3604560903. The mailing address for Shopko Stores Operating Co Llc is 5500 Martin Way E, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 5500 Martin Way E, Lacey, Washington |
| Phone Number | 3604564057 |
| Fax Number | 3604560903 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga J Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1962442392 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 5500 Martin Way E |
|---|---|
| City | Lacey |
| State | Washington (WA) |
| Post Code | 985166326 |
| Phone Number | 3604564057 |
| Fax Number | 3604560903 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6013270 | WA | -- | |
| 215810 | WA LABOR & INDUSTRY | ||
| 47611 | WA LABOR & INDUSTRY | ||
| 4923175 | NCPDP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1962442392, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shopko Stores Operating Co Llc is geographically located?
The Shopko Stores Operating Co Llc is physically situated at the following location: 5500 Martin Way E, Lacey, WA, 985166326.
What is the Shopko Stores Operating Co Llc's specialty and taxonomy code?
The Shopko Stores Operating Co Llc's specialty is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code is 332B00000X.
On what date did the Shopko Stores Operating Co Llc receive the assignment of its 1962442392 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was issued its 1962442392 by the Centers for Medicare & Medicaid Services on 2006-06-07.
As of what date were the details pertaining to Shopko Stores Operating Co Llc last refreshed?
The information related to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated on 2008-08-14.
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