Shopko Stores Operating Co Llc in Nampa - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1295780815
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Nampa, 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 1295780815. The last update date is 2014-07-25.
Shopko Stores Operating Co Llc's current location address is 2100 Caldwell Blvd, Nampa, Idaho. You can contact this provider via phone number 2084669616 and fax number 2084631724. The mailing address for Shopko Stores Operating Co Llc is 2100 Caldwell Blvd, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2100 Caldwell Blvd, Nampa, Idaho |
| Phone Number | 2084669616 |
| Fax Number | 2084631724 |
| 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 | 1295780815 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2014-07-25 |
Provider Mailing Address Detail
| Address | 2100 Caldwell Blvd |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836511510 |
| Phone Number | 2084669616 |
| Fax Number | 2084631724 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 2042CP |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 311800 | ID | -- | |
| 215801 | WA LABOR & INDUSTRY | ||
| 193994 | WA LABOR & INDUSTRY | ||
| 1304524 | NCPDP NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1295780815 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is physically situated at 2100 Caldwell Blvd, in the city of Nampa, state of ID, with the postal code 836511510.
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.
On what date did the Shopko Stores Operating Co Llc receive the assignment of its 1295780815 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was issued its 1295780815 by the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date were the Shopko Stores Operating Co Llc's details last updated?
The information pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other details, was most recently updated on 2014-07-25.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY