Shopko Stores Operating Co Llc in Gladwin - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1134172794
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Gladwin, 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 1134172794. The last update date is 2015-12-14.
Shopko Stores Operating Co Llc's current location address is 174 James Robertson Dr, Gladwin, Michigan. You can contact this provider via phone number 9894267020 and fax number 9894267155. The mailing address for Shopko Stores Operating Co Llc is 174 James Robertson Dr, Gladwin, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 174 James Robertson Dr, Gladwin, Michigan |
Phone Number | 9894267020 |
Fax Number | 9894267155 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SVP AND CO |
---|---|
Authorized Official Name | Steinhorst Russell |
Telephone Number | 9204297489 |
NPI Number Detail
NPI Number | 1134172794 |
---|---|
Provider Enumeration Date | 2006-05-17 |
Last Updated Date | 2015-12-14 |
Provider Mailing Address Detail
Address | 174 James Robertson Dr |
---|---|
City | Gladwin |
State | Michigan (MI) |
Post Code | 486247006 |
Phone Number | 9894267020 |
Fax Number | 9894267155 |
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 |
---|---|---|---|
4913866 | MI | -- | |
3247754 | MI | -- | |
2355661 | MI | -- | |
2355661 | NCPDP NUMBER | ||
4819283 | MI | -- |
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 1134172794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Shopko Stores Operating Co Llc is physically located?
The Shopko Stores Operating Co Llc is situated at the following address: 174 James Robertson Dr, Gladwin, MI 486247006.
What is the Shopko Stores Operating Co Llc's specialty and taxonomy code?
The Shopko Stores Operating Co Llc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134172794 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services assigned the 1134172794 to Shopko Stores Operating Co Llc on 2006-05-17.
When was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-12-14.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA