Shopko Stores Operating Co Llc in Greybull - Community/retail Pharmacy

Shopko Stores Operating Co Llc - NPI 1114113511

Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Greybull, . Shopko Stores Operating Co Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Shopko Stores Operating Co Llc is 1114113511. The last update date is 2012-10-15.

Shopko Stores Operating Co Llc's current location address is 925 N 6th St, Greybull, . You can contact this provider via phone number 3077654601 and fax number 3077654600. The mailing address for Shopko Stores Operating Co Llc is 925 N 6th St, Greybull, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 925 N 6th St, Greybull,
Phone Number 3077654601
Fax Number 3077654600
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1114113511
Provider Enumeration Date 2007-09-19
Last Updated Date 2012-10-15

Provider Mailing Address Detail

Address 925 N 6th St
City Greybull
State (WY)
Post Code 82426
Phone Number 3077654601
Fax Number 3077654600

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
125144900 WY --

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FAQs about Shopko Stores Operating Co Llc

What is the Shopko Stores Operating Co Llc's 1114113511?

The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1114113511. 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 physical address where Shopko Stores Operating Co Llc is located?

The Shopko Stores Operating Co Llc is situated at the following address: 925 N 6Th St, Greybull, WY, 82426.

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 Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.

When did Shopko Stores Operating Co Llc receive its 1114113511 assignment?

The Shopko Stores Operating Co Llc was assigned its 1114113511 on 2007-09-19, which is the date when this unique identifier was issued to the organization.

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 2012-10-15.

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