Shopko Stores Operating Co Llc in Ellsworth - Pharmacy
Shopko Stores Operating Co Llc - NPI 1609047869
Shopko Stores Operating Co Llc is a Pharmacy in Ellsworth, Wisconsin. 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 1609047869. The last update date is 2013-01-07.
Shopko Stores Operating Co Llc's current location address is 598 Lucas Lane, Ellsworth, Wisconsin. You can contact this provider via phone number 7152734466 and fax number 7152735414. The mailing address for Shopko Stores Operating Co Llc is 598 Lucas Lane, Ellsworth, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 598 Lucas Lane, Ellsworth, Wisconsin |
| Phone Number | 7152734466 |
| Fax Number | 7152735414 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1609047869 |
|---|---|
| Provider Enumeration Date | 2008-03-17 |
| Last Updated Date | 2013-01-07 |
Provider Mailing Address Detail
| Address | 598 Lucas Lane |
|---|---|
| City | Ellsworth |
| State | Wisconsin (WI) |
| Post Code | 54011 |
| Phone Number | 7152734466 |
| Fax Number | 7152735414 |
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 unique identification number?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) Number 1609047869 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is situated at 598 Lucas Lane, in the city of Ellsworth, state of WI, with the zip code 54011.
What is Shopko Stores Operating Co Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shopko Stores Operating Co Llc's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609047869 to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc received its 1609047869 assignment from the Centers for Medicare & Medicaid Services on 2008-03-17.
As of what date was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-01-07.
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