Shopko Stores Operating Co Llc in Crete - Community/retail Pharmacy

Shopko Stores Operating Co Llc - NPI 1841243490

Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Crete, Nebraska. 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 1841243490. The last update date is 2012-09-04.

Shopko Stores Operating Co Llc's current location address is 930 Main Ave, Crete, Nebraska. You can contact this provider via phone number 4028262996 and fax number 4028263004. The mailing address for Shopko Stores Operating Co Llc is 930 Main Ave, Crete, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 930 Main Ave, Crete, Nebraska
Phone Number 4028262996
Fax Number 4028263004
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Bettiga Michael
Credentials RPH
Telephone Number 9204294297

NPI Number Detail

NPI Number 1841243490
Provider Enumeration Date 2006-05-17
Last Updated Date 2012-09-04

Provider Mailing Address Detail

Address 930 Main Ave
City Crete
State Nebraska (NE)
Post Code 683332254
Phone Number 4028262996
Fax Number 4028263004

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
459230091 MEDICARE ID - TYPE UNSPECIFIED

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FAQs about Shopko Stores Operating Co Llc

What is the unique 10-digit 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) 1841243490, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Shopko Stores Operating Co Llc is located?

The Shopko Stores Operating Co Llc is situated at the following address: 930 Main Ave, Crete, NE, 683332254.

What is Shopko Stores Operating Co Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shopko Stores Operating Co Llc's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1841243490 to Shopko Stores Operating Co Llc?

The Centers for Medicare & Medicaid Services originally issued the 1841243490 to Shopko Stores Operating Co Llc on 2006-05-17.

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 2012-09-04.

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