Shopko Stores Operating Co Llc in Lake City - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1184895336
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Lake City, 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 1184895336. The last update date is 2013-02-15.
Shopko Stores Operating Co Llc's current location address is Po Box 399, Lake City, Michigan. You can contact this provider via phone number 2318397207 and fax number 2318394142. The mailing address for Shopko Stores Operating Co Llc is Po Box 399, Lake City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | Po Box 399, Lake City, Michigan |
| Phone Number | 2318397207 |
| Fax Number | 2318394142 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1184895336 |
|---|---|
| Provider Enumeration Date | 2008-03-17 |
| Last Updated Date | 2013-02-15 |
Provider Mailing Address Detail
| Address | Po Box 399 |
|---|---|
| City | Lake City |
| State | Michigan (MI) |
| Post Code | 49651 |
| Phone Number | 2318397207 |
| Fax Number | 2318394142 |
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 Shopko Stores Operating Co Llc's 1184895336?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1184895336. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
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: Po Box 399, Lake City, MI 49651.
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 Shopko Stores Operating Co Llc receive its 1184895336 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1184895336 on 2008-03-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Shopko Stores Operating Co Llc most recently updated or revised?
The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-15.
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