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

Shopko Stores Operating Co Llc - NPI 1053362400

Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Omaha, 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 1053362400. The last update date is 2013-08-27.

Shopko Stores Operating Co Llc's current location address is 3020 S 84th St, Omaha, Nebraska. You can contact this provider via phone number 4023916299 and fax number 4023913335. The mailing address for Shopko Stores Operating Co Llc is 3020 S 84th St, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 3020 S 84th St, Omaha, Nebraska
Phone Number 4023916299
Fax Number 4023913335
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 1053362400
Provider Enumeration Date 2006-05-12
Last Updated Date 2013-08-27

Provider Mailing Address Detail

Address 3020 S 84th St
City Omaha
State Nebraska (NE)
Post Code 681243215
Phone Number 4023916299
Fax Number 4023913335

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 2678
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
2812205 NCPDP NUMBER
721902 IA --
41098505405 NE --
573824 IA --
10025413800 NE --

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FAQs about Shopko Stores Operating Co Llc

What is the unique identifier code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1053362400. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

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: 3020 S 84Th St, Omaha, NE, 681243215.

What is Shopko Stores Operating Co Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shopko Stores Operating Co Llc is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.

When did Shopko Stores Operating Co Llc receive its 1053362400 assignment?

The Shopko Stores Operating Co Llc was assigned its 1053362400 on 2006-05-12, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Shopko Stores Operating Co Llc last refreshed?

The information related to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated on 2013-08-27.

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