Shopko Stores Operating Co Llc in Lyons - Pharmacy
Shopko Stores Operating Co Llc - NPI 1588845929
Shopko Stores Operating Co Llc is a Pharmacy in Lyons, Kansas. 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 1588845929. The last update date is 2013-01-29.
Shopko Stores Operating Co Llc's current location address is 1212 W Main St, Lyons, Kansas. You can contact this provider via phone number 6202572821 and fax number 6202572207. The mailing address for Shopko Stores Operating Co Llc is 1212 W Main St, Lyons, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1212 W Main St, Lyons, Kansas |
| Phone Number | 6202572821 |
| Fax Number | 6202572207 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1588845929 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2013-01-29 |
Provider Mailing Address Detail
| Address | 1212 W Main St |
|---|---|
| City | Lyons |
| State | Kansas (KS) |
| Post Code | 675542428 |
| Phone Number | 6202572821 |
| Fax Number | 6202572207 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
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 |
|---|---|---|---|
| 200389320K | KS | -- |
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) 1588845929, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shopko Stores Operating Co Llc's physical address?
The Shopko Stores Operating Co Llc is physically located at 1212 W Main St, in the city of Lyons, KS, with the postal code 675542428.
What is Shopko Stores Operating Co Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shopko Stores Operating Co Llc's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588845929 to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc received its 1588845929 assignment from the Centers for Medicare & Medicaid Services on 2007-11-14.
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 2013-01-29.
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