Shopko Stores Operating Co Llc in Dixon - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1376579334
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Dixon, Illinois. 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 1376579334. The last update date is 2008-08-14.
Shopko Stores Operating Co Llc's current location address is 1350 N Galena Ave, Dixon, Illinois. You can contact this provider via phone number 8152844127 and fax number 8152846094. The mailing address for Shopko Stores Operating Co Llc is 1350 N Galena Ave, Dixon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1350 N Galena Ave, Dixon, Illinois |
| Phone Number | 8152844127 |
| Fax Number | 8152846094 |
| 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 | 1376579334 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 1350 N Galena Ave |
|---|---|
| City | Dixon |
| State | Illinois (IL) |
| Post Code | 610211010 |
| Phone Number | 8152844127 |
| Fax Number | 8152846094 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 5401587 |
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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 |
|---|---|---|---|
| 1463809 | NCPDP NUMBER | ||
| 410985054001 | IL | -- |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's unique identification number?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) Number 1376579334 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is situated at 1350 N Galena Ave, in the city of Dixon, state of IL, with the zip code 610211010.
What is Shopko Stores Operating Co Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shopko Stores Operating Co Llc's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376579334 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1376579334 to Shopko Stores Operating Co Llc on 2006-06-23.
As of what date was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-14.