Shopko Stores Operating Co Llc in Saint James - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1881647840
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Saint James, 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 1881647840. The last update date is 2012-09-24.
Shopko Stores Operating Co Llc's current location address is 301 1st Ave S, Saint James, Minnesota. You can contact this provider via phone number 5073758115 and fax number 5073758357. The mailing address for Shopko Stores Operating Co Llc is 301 1st Ave S, Saint James, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 301 1st Ave S, Saint James, Minnesota |
| Phone Number | 5073758115 |
| Fax Number | 5073758357 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1881647840 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2012-09-24 |
Provider Mailing Address Detail
| Address | 301 1st Ave S |
|---|---|
| City | Saint James |
| State | Minnesota (MN) |
| Post Code | 560811723 |
| Phone Number | 5073758115 |
| Fax Number | 5073758357 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 728113000 | MN | -- | |
| 891450800 | MN | -- | |
| 2424276 | NCPDP |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1881647840?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1881647840. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
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: 301 1St Ave S, Saint James, MN, 560811723.
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 Shopko Stores Operating Co Llc receive its 1881647840 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1881647840 by the Centers for Medicare & Medicaid Services on 2006-05-18.
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 2012-09-24.