Shopko Stores Operating Co Llc in Evart - Pharmacy
Shopko Stores Operating Co Llc - NPI 1740469394
Shopko Stores Operating Co Llc is a Pharmacy in Evart, Michigan. 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 1740469394. The last update date is 2013-02-18.
Shopko Stores Operating Co Llc's current location address is 107 North Main, Evart, Michigan. You can contact this provider via phone number 2317345581 and fax number 2317346170. The mailing address for Shopko Stores Operating Co Llc is 107 North Main, Evart, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 107 North Main, Evart, Michigan |
Phone Number | 2317345581 |
Fax Number | 2317346170 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
---|---|
Authorized Official Name | Bettiga Michael |
Credentials | RPH |
Telephone Number | 9204294297 |
NPI Number Detail
NPI Number | 1740469394 |
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Provider Enumeration Date | 2007-10-31 |
Last Updated Date | 2013-02-18 |
Provider Mailing Address Detail
Address | 107 North Main |
---|---|
City | Evart |
State | Michigan (MI) |
Post Code | 49631 |
Phone Number | 2317345581 |
Fax Number | 2317346170 |
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 |
---|---|---|---|
2370459 | MI | -- |
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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) 1740469394 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
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: 107 North Main, Evart, MI, 49631.
What is the Shopko Stores Operating Co Llc's specialty and taxonomy code?
The Shopko Stores Operating Co Llc's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740469394 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1740469394 to Shopko Stores Operating Co Llc on 2007-10-31.
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 2013-02-18.
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