Shopko Stores Operating Co Llc in Dowagiac - Community/retail Pharmacy

Shopko Stores Operating Co Llc - NPI 1427001056

Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Dowagiac, Michigan. 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 1427001056. The last update date is 2015-12-15.

Shopko Stores Operating Co Llc's current location address is 56419 Pokagon St, Dowagiac, Michigan. You can contact this provider via phone number 2697820280 and fax number 2697820282. The mailing address for Shopko Stores Operating Co Llc is 56419 Pokagon St, Dowagiac, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 56419 Pokagon St, Dowagiac, Michigan
Phone Number 2697820280
Fax Number 2697820282
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SVP AND CO
Authorized Official Name Steinhorst Russell
Telephone Number 9204297489

NPI Number Detail

NPI Number 1427001056
Provider Enumeration Date 2006-05-17
Last Updated Date 2015-12-15

Provider Mailing Address Detail

Address 56419 Pokagon St
City Dowagiac
State Michigan (MI)
Post Code 490477721
Phone Number 2697820280
Fax Number 2697820282

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
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
540A410170 SC --
4913436 MI --
2367096 NCPDP NUMBER
2367096 MI --
4819274 MI --

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FAQs about Shopko Stores Operating Co Llc

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) 1427001056. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Shopko Stores Operating Co Llc is physically located?

The Shopko Stores Operating Co Llc is physically situated at the following address: 56419 Pokagon St, Dowagiac, MI, 490477721.

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 was the 1427001056 assigned to Shopko Stores Operating Co Llc?

The Shopko Stores Operating Co Llc was issued its 1427001056 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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 2015-12-15.

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