Shopko Stores Operating Co Llc in Waukon - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1316990716
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Waukon, Iowa. 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 1316990716. The last update date is 2012-10-25.
Shopko Stores Operating Co Llc's current location address is 819 11th Ave Sw, Waukon, Iowa. You can contact this provider via phone number 5635683668 and fax number 5635683693. The mailing address for Shopko Stores Operating Co Llc is 819 11th Ave Sw, Waukon, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
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Address | 819 11th Ave Sw, Waukon, Iowa |
Phone Number | 5635683668 |
Fax Number | 5635683693 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Bettiga Michael |
Credentials | RPH |
Telephone Number | 9204294297 |
NPI Number Detail
NPI Number | 1316990716 |
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Provider Enumeration Date | 2006-05-18 |
Last Updated Date | 2012-10-25 |
Provider Mailing Address Detail
Address | 819 11th Ave Sw |
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City | Waukon |
State | Iowa (IA) |
Post Code | 521727593 |
Phone Number | 5635683668 |
Fax Number | 5635683693 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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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 |
---|---|---|---|
495804 | IA | -- | |
174805 | IA | -- | |
1619343 | NCPDP |
Post Comment/ Review Below
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) 1316990716. 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: 819 11Th Ave Sw, Waukon, IA, 521727593.
What is the Shopko Stores Operating Co Llc's area of specialization and corresponding taxonomy classification?
The Shopko Stores Operating Co Llc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did the Shopko Stores Operating Co Llc receive the assignment of its 1316990716 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was issued its 1316990716 by the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2012-10-25.