Shopko Stores Operating Co Llc in Green Bay - Pharmacy
Shopko Stores Operating Co Llc - NPI 1003862442
Shopko Stores Operating Co Llc is a Pharmacy in Green Bay, 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 1003862442. The last update date is 2014-02-14.
Shopko Stores Operating Co Llc's current location address is 2430 E Mason St, Green Bay, Wisconsin. You can contact this provider via phone number 9204686044 and fax number 9204683490. The mailing address for Shopko Stores Operating Co Llc is 2430 E Mason St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2430 E Mason St, Green Bay, Wisconsin |
| Phone Number | 9204686044 |
| Fax Number | 9204683490 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga J Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1003862442 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2014-02-14 |
Provider Mailing Address Detail
| Address | 2430 E Mason St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543023759 |
| Phone Number | 9204686044 |
| Fax Number | 9204683490 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5103926 | NCPDP NUMBER | ||
| 33119300 | WI | -- |
Post Comment/ Review Below
What is the unique identification 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) 1003862442. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shopko Stores Operating Co Llc's physical address?
The Shopko Stores Operating Co Llc is physically located at 2430 E Mason St, in the city of Green Bay, WI, with the postal code 543023759.
What is Shopko Stores Operating Co Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shopko Stores Operating Co Llc is Pharmacy, and the corresponding taxonomy classification code for this specialized field is 333600000X.
When was the Shopko Stores Operating Co Llc's 1003862442 issued?
The Shopko Stores Operating Co Llc's 1003862442 was issued on 2006-05-26.
When was the information related to Shopko Stores Operating Co Llc most recently updated or refreshed?
The details pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-02-14.