Shopko Stores Operating Co Llc in Meridian - Pharmacy

Shopko Stores Operating Co Llc - NPI 1235176983

Shopko Stores Operating Co Llc is a Pharmacy in Meridian, Idaho. Shopko Stores Operating Co Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Shopko Stores Operating Co Llc is 1235176983. The last update date is 2009-07-10.

Shopko Stores Operating Co Llc's current location address is 3499 E Fairview Ave, Meridian, Idaho. You can contact this provider via phone number 2088841286 and fax number 2088841186. The mailing address for Shopko Stores Operating Co Llc is 3499 E Fairview Ave, Meridian, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 3499 E Fairview Ave, Meridian, Idaho
Phone Number 2088841286
Fax Number 2088841186
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 1235176983
Provider Enumeration Date 2006-06-01
Last Updated Date 2009-07-10

Provider Mailing Address Detail

Address 3499 E Fairview Ave
City Meridian
State Idaho (ID)
Post Code 836425848
Phone Number 2088841286
Fax Number 2088841186

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 2038CP
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
805516800 ID --
1306807 NCPDP NUMBER

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FAQs about Shopko Stores Operating Co Llc

What is the unique 10-digit identifier code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1235176983 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Shopko Stores Operating Co Llc's physical address?

The Shopko Stores Operating Co Llc is physically located at 3499 E Fairview Ave, in the city of Meridian, ID, with the postal code 836425848.

What is Shopko Stores Operating Co Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shopko Stores Operating Co Llc is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.

When did Shopko Stores Operating Co Llc receive its 1235176983 assignment?

The Shopko Stores Operating Co Llc was assigned its 1235176983 on 2006-06-01, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Shopko Stores Operating Co Llc most recently updated or revised?

The details related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or revised on 2009-07-10.

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