Shopko Stores Operating Co Llc in Perham - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1023063757
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Perham, 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 1023063757. The last update date is 2012-09-24.
Shopko Stores Operating Co Llc's current location address is Po Box 10, Perham, Minnesota. You can contact this provider via phone number 2183467751 and fax number 2183467752. The mailing address for Shopko Stores Operating Co Llc is Po Box 10, Perham, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | Po Box 10, Perham, Minnesota |
| Phone Number | 2183467751 |
| Fax Number | 2183467752 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1023063757 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2012-09-24 |
Provider Mailing Address Detail
| Address | Po Box 10 |
|---|---|
| City | Perham |
| State | Minnesota (MN) |
| Post Code | 565730010 |
| Phone Number | 2183467751 |
| Fax Number | 2183467752 |
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 |
|---|---|---|---|
| 2421511 | NCPDP | ||
| 300559300 | MN | -- | |
| 208187000 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1023063757 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
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: Po Box 10, Perham, MN, 565730010.
What is the area of specialization for Shopko Stores Operating Co Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shopko Stores Operating Co Llc is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023063757 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services originally issued the 1023063757 to Shopko Stores Operating Co Llc on 2006-05-23.
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 2012-09-24.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO