Shopko Stores Operating Co Llc in Dwight - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1083887012
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Dwight, 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 1083887012. The last update date is 2012-09-28.
Shopko Stores Operating Co Llc's current location address is 110 Watters Dr, Dwight, Illinois. You can contact this provider via phone number 8155843330. The mailing address for Shopko Stores Operating Co Llc is 110 Watters Dr, Dwight, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 110 Watters Dr, Dwight, Illinois |
| Phone Number | 8155843330 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1083887012 |
|---|---|
| Provider Enumeration Date | 2008-04-10 |
| Last Updated Date | 2012-09-28 |
Provider Mailing Address Detail
| Address | 110 Watters Dr |
|---|---|
| City | Dwight |
| State | Illinois (IL) |
| Post Code | 604202200 |
| Phone Number | 8155843330 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
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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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What is the unique identification code assigned to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1083887012. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shopko Stores Operating Co Llc's facilities are geographically located?
The facilities of Shopko Stores Operating Co Llc are physically situated at the following location: 110 Watters Dr, Dwight, IL, 604202200.
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.
On what date was the 1083887012 assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc was issued its 1083887012 on 2008-04-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2012-09-28.
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