Shopko Stores Operating Co Llc in Nampa - Pharmacy

Shopko Stores Operating Co Llc - NPI 1295780815

Shopko Stores Operating Co Llc is a Pharmacy in Nampa, 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 1295780815. The last update date is 2014-07-25.

Shopko Stores Operating Co Llc's current location address is 2100 Caldwell Blvd, Nampa, Idaho. You can contact this provider via phone number 2084669616 and fax number 2084631724. The mailing address for Shopko Stores Operating Co Llc is 2100 Caldwell Blvd, Nampa, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 2100 Caldwell Blvd, Nampa, Idaho
Phone Number 2084669616
Fax Number 2084631724
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 1295780815
Provider Enumeration Date 2006-05-23
Last Updated Date 2014-07-25

Provider Mailing Address Detail

Address 2100 Caldwell Blvd
City Nampa
State Idaho (ID)
Post Code 836511510
Phone Number 2084669616
Fax Number 2084631724

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 2042CP
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
311800 ID --
215801 WA LABOR & INDUSTRY
193994 WA LABOR & INDUSTRY
1304524 NCPDP NUMBER

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FAQs about Shopko Stores Operating Co Llc

What is the unique provider identifier assigned to Shopko Stores Operating Co Llc?

The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1295780815 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Shopko Stores Operating Co Llc?

The Shopko Stores Operating Co Llc is physically situated at 2100 Caldwell Blvd, in the city of Nampa, state of ID, with the postal code 836511510.

What is the area of specialization for Shopko Stores Operating Co Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shopko Stores Operating Co Llc is Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 333600000X.

On what date did the Shopko Stores Operating Co Llc receive the assignment of its 1295780815 from the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co Llc was issued its 1295780815 by the Centers for Medicare & Medicaid Services on 2006-05-23.

As of what date were the Shopko Stores Operating Co Llc's details last updated?

The information pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other details, was most recently updated on 2014-07-25.

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