Shopko Stores Operating Co Llc in Saint Cloud - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1609829464
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Saint Cloud, 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 1609829464. The last update date is 2014-05-22.
Shopko Stores Operating Co Llc's current location address is 4161 2nd St S, Saint Cloud, Minnesota. You can contact this provider via phone number 3202533280 and fax number 3202535790. The mailing address for Shopko Stores Operating Co Llc is 4161 2nd St S, Saint Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 4161 2nd St S, Saint Cloud, Minnesota |
| Phone Number | 3202533280 |
| Fax Number | 3202535790 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Bettiga J Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1609829464 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
| Address | 4161 2nd St S |
|---|---|
| City | Saint Cloud |
| State | Minnesota (MN) |
| Post Code | 563013761 |
| Phone Number | 3202533280 |
| Fax Number | 3202535790 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 2627960 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 606234200 | MN | -- | |
| 625857300 | MN | -- | |
| 154160058 | MN | -- | |
| 2414249 | NCPDP NUMBER | ||
| 578612000 | MN | -- |
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What is the unique identification 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) 1609829464. This 10-digit code serves as a unique identifier for healthcare providers, assigned 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 4161 2Nd St S, Saint Cloud, MN 563013761.
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 originally issue the 1609829464 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services originally issued the 1609829464 to Shopko Stores Operating Co Llc on 2006-05-19.
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 2014-05-22.
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