Shopko Stores Operating Co Llc in Ainsworth - Pharmacy

Shopko Stores Operating Co Llc - NPI 1295921435

Shopko Stores Operating Co Llc is a Pharmacy in Ainsworth, Nebraska. 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 1295921435. The last update date is 2012-12-31.

Shopko Stores Operating Co Llc's current location address is 1511 East 4th, Ainsworth, Nebraska. You can contact this provider via phone number 4023871533 and fax number 4023871749. The mailing address for Shopko Stores Operating Co Llc is 1511 East 4th, Ainsworth, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 1511 East 4th, Ainsworth, Nebraska
Phone Number 4023871533
Fax Number 4023871749
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Bettiga Michael
Credentials RPH
Telephone Number 9204294297

NPI Number Detail

NPI Number 1295921435
Provider Enumeration Date 2007-09-21
Last Updated Date 2012-12-31

Provider Mailing Address Detail

Address 1511 East 4th
City Ainsworth
State Nebraska (NE)
Post Code 69210
Phone Number 4023871533
Fax Number 4023871749

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
8535370 SD --
10025566200 NE --

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FAQs about Shopko Stores Operating Co Llc

What is the unique identifier code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1295921435. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Shopko Stores Operating Co Llc is physically located?

The Shopko Stores Operating Co Llc is physically situated at the following address: 1511 East 4Th, Ainsworth, NE, 69210.

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 Shopko Stores Operating Co Llc receive its 1295921435 assignment from the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co Llc was assigned its 1295921435 on 2007-09-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Shopko Stores Operating Co Llc most recently updated or revised?

The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-31.

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