Shopko Stores Operating Co Llc in Doniphan - Pharmacy
Shopko Stores Operating Co Llc - NPI 1386825248
Shopko Stores Operating Co Llc is a Pharmacy in Doniphan, Missouri. 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 1386825248. The last update date is 2012-05-23.
Shopko Stores Operating Co Llc's current location address is 111 Leroux Dr, Doniphan, Missouri. You can contact this provider via phone number 5739962311 and fax number 5739967415. The mailing address for Shopko Stores Operating Co Llc is 111 Leroux Dr, Doniphan, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 111 Leroux Dr, Doniphan, Missouri |
Phone Number | 5739962311 |
Fax Number | 5739967415 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXCUTIVE V |
---|---|
Authorized Official Name | Bettiga Michael |
Credentials | RPH |
Telephone Number | 9204294297 |
NPI Number Detail
NPI Number | 1386825248 |
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Provider Enumeration Date | 2007-11-20 |
Last Updated Date | 2012-05-23 |
Provider Mailing Address Detail
Address | 111 Leroux Dr |
---|---|
City | Doniphan |
State | Missouri (MO) |
Post Code | 63935 |
Phone Number | 5739962311 |
Fax Number | 5739967415 |
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 |
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What is the Shopko Stores Operating Co Llc's 1386825248?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1386825248. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shopko Stores Operating Co Llc is physically located?
The Shopko Stores Operating Co Llc is situated at the following address: 111 Leroux Dr, Doniphan, MO 63935.
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 1386825248 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was issued its 1386825248 by the Centers for Medicare & Medicaid Services on 2007-11-20.
As of what date was the information pertaining to Shopko Stores Operating Co Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-05-23.
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