Shopko Stores Operating Co Llc in Doniphan - Pharmacy
Shopko Stores Operating Co Llc - NPI 1407044621
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 1407044621. The last update date is 2012-07-31.
Shopko Stores Operating Co Llc's current location address is 115 Leroux St, 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 115 Leroux St, Doniphan, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 115 Leroux St, Doniphan, Missouri |
| Phone Number | 5739962311 |
| Fax Number | 5739967415 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1407044621 |
|---|---|
| Provider Enumeration Date | 2007-10-12 |
| Last Updated Date | 2012-07-31 |
Provider Mailing Address Detail
| Address | 115 Leroux St |
|---|---|
| City | Doniphan |
| State | Missouri (MO) |
| Post Code | 639351038 |
| 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 unique 10-digit identifier 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) 1407044621 by the CMS (Centers for Medicare & Medicaid Services), which 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 115 Leroux St, in the city of Doniphan, MO, with the postal code 639351038.
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 Shopko Stores Operating Co Llc receive the assignment of its 1407044621 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was issued its 1407044621 by the Centers for Medicare & Medicaid Services on 2007-10-12.
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 2012-07-31.
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