Shopko Stores Operating Co Llc in Gothenburg - Pharmacy
Shopko Stores Operating Co Llc - NPI 1215108758
Shopko Stores Operating Co Llc is a Pharmacy in Gothenburg, 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 1215108758. The last update date is 2012-12-27.
Shopko Stores Operating Co Llc's current location address is 718 4th Street, Gothenburg, Nebraska. You can contact this provider via phone number 3085378780 and fax number 3085374309. The mailing address for Shopko Stores Operating Co Llc is 718 4th Street, Gothenburg, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 718 4th Street, Gothenburg, Nebraska |
| Phone Number | 3085378780 |
| Fax Number | 3085374309 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1215108758 |
|---|---|
| Provider Enumeration Date | 2008-03-12 |
| Last Updated Date | 2012-12-27 |
Provider Mailing Address Detail
| Address | 718 4th Street |
|---|---|
| City | Gothenburg |
| State | Nebraska (NE) |
| Post Code | 69138 |
| Phone Number | 3085378780 |
| Fax Number | 3085374309 |
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 provider identifier assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1215108758 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Shopko Stores Operating Co Llc located?
The Shopko Stores Operating Co Llc is located at 718 4Th Street, Gothenburg, NE 69138.
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.
When did Shopko Stores Operating Co Llc receive its 1215108758 assignment?
The Shopko Stores Operating Co Llc was assigned its 1215108758 on 2008-03-12, which is the date when this unique identifier was issued to the organization.
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 2012-12-27.
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