Shopko Stores Operating Co Llc in Jackson - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1083896716
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Jackson, Minnesota. 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 1083896716. The last update date is 2012-07-31.
Shopko Stores Operating Co Llc's current location address is 506 2nd St, Jackson, Minnesota. You can contact this provider via phone number 5078472480 and fax number 5078472480. The mailing address for Shopko Stores Operating Co Llc is 506 2nd St, Jackson, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 506 2nd St, Jackson, Minnesota |
| Phone Number | 5078472480 |
| Fax Number | 5078472480 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXCUTIVE V |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1083896716 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2012-07-31 |
Provider Mailing Address Detail
| Address | 506 2nd St |
|---|---|
| City | Jackson |
| State | Minnesota (MN) |
| Post Code | 56143 |
| Phone Number | 5078472480 |
| Fax Number | 5078472480 |
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 |
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What is the unique 10-digit identification code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1083896716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Shopko Stores Operating Co Llc is geographically located?
The Shopko Stores Operating Co Llc is physically situated at the following location: 506 2Nd St, Jackson, MN, 56143.
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 Centers for Medicare & Medicaid Services issue the 1083896716 to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc received its 1083896716 assignment from the Centers for Medicare & Medicaid Services on 2007-12-05.
When was the information related to Shopko Stores Operating Co Llc most recently updated or refreshed?
The details pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-31.
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