Shopko Stores Operating Co Llc in Green Bay - Pharmacy
Shopko Stores Operating Co Llc - NPI 1356505408
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 1356505408. The last update date is 2009-01-05.
Shopko Stores Operating Co Llc's current location address is 300 N Broadway, Green Bay, Wisconsin. You can contact this provider via phone number 9204301505 and fax number 9204301773. The mailing address for Shopko Stores Operating Co Llc is 300 N Broadway, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 300 N Broadway, Green Bay, Wisconsin |
| Phone Number | 9204301505 |
| Fax Number | 9204301773 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1356505408 |
|---|---|
| Provider Enumeration Date | 2008-07-17 |
| Last Updated Date | 2009-01-05 |
Provider Mailing Address Detail
| Address | 300 N Broadway |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543032753 |
| Phone Number | 9204301505 |
| Fax Number | 9204301773 |
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 |
|---|---|---|---|
| 5131026 | NCPDP | ||
| 36230700 | WI | -- |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1356505408?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1356505408. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shopko Stores Operating Co Llc is physically located?
The Shopko Stores Operating Co Llc is situated at the following address: 300 N Broadway, Green Bay, WI 543032753.
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 1356505408 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1356505408 on 2008-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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 2009-01-05.
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