Shopko Stores Operating Co Llc in Chubbuck - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1255378907
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Chubbuck, Idaho. 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 1255378907. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 4215 Yellowstone Ave, Chubbuck, Idaho. You can contact this provider via phone number 2082376828 and fax number 2082388371. The mailing address for Shopko Stores Operating Co Llc is 4215 Yellowstone Ave, Chubbuck, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
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Address | 4215 Yellowstone Ave, Chubbuck, Idaho |
Phone Number | 2082376828 |
Fax Number | 2082388371 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SR. VICE P |
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Authorized Official Name | Bettiga J Michael |
Credentials | RPH |
Telephone Number | 9204294297 |
NPI Number Detail
NPI Number | 1255378907 |
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Provider Enumeration Date | 2006-06-01 |
Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
Address | 4215 Yellowstone Ave |
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City | Chubbuck |
State | Idaho (ID) |
Post Code | 832022419 |
Phone Number | 2082376828 |
Fax Number | 2082388371 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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Taxonomy | 3336C0003X |
Licence No | 2039CP |
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 |
---|---|---|---|
123300 | ID | -- | |
1304550 | NCPDP NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1255378907. This 10-digit code serves as a unique identification number for healthcare providers, issued by the 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: 4215 Yellowstone Ave, Chubbuck, ID, 832022419.
What is the area of specialization for Shopko Stores Operating Co Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shopko Stores Operating Co Llc is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.
When did Shopko Stores Operating Co Llc receive its 1255378907 assignment?
The Shopko Stores Operating Co Llc was assigned its 1255378907 on 2006-06-01, 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 2014-06-06.