Shopko Stores Operating Co Llc in Luverne - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1538112644
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Luverne, 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 1538112644. The last update date is 2012-10-01.
Shopko Stores Operating Co Llc's current location address is 405 W Interstate Dr, Luverne, Minnesota. You can contact this provider via phone number 5072832156 and fax number 5072832168. The mailing address for Shopko Stores Operating Co Llc is 405 W Interstate Dr, Luverne, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 405 W Interstate Dr, Luverne, Minnesota |
Phone Number | 5072832156 |
Fax Number | 5072832168 |
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 | 1538112644 |
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Provider Enumeration Date | 2006-05-18 |
Last Updated Date | 2012-10-01 |
Provider Mailing Address Detail
Address | 405 W Interstate Dr |
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City | Luverne |
State | Minnesota (MN) |
Post Code | 561562266 |
Phone Number | 5072832156 |
Fax Number | 5072832168 |
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 |
---|---|---|---|
2422258 | NCPDP | ||
545160 | IA | -- | |
722538 | IA | -- | |
117475000 | MN | -- | |
9167850 | SD | -- | |
546523100 | MN | -- | |
8530530 | SD | -- | |
8530532 | SD | -- |
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What is the Shopko Stores Operating Co Llc's 1538112644?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1538112644. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shopko Stores Operating Co Llc located?
The Shopko Stores Operating Co Llc is located at 405 W Interstate Dr, Luverne, MN 561562266.
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.
When did Shopko Stores Operating Co Llc receive its 1538112644 assignment?
The Shopko Stores Operating Co Llc was assigned its 1538112644 on 2006-05-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-01.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY