Shopko Stores Operating Co Llc in Georgetown - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1124070107
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Georgetown, Ohio. 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 1124070107. The last update date is 2013-03-05.
Shopko Stores Operating Co Llc's current location address is 4869 State Route 125, Georgetown, Ohio. You can contact this provider via phone number 9373786849 and fax number 9373782679. The mailing address for Shopko Stores Operating Co Llc is 4869 State Route 125, Georgetown, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 4869 State Route 125, Georgetown, Ohio |
| Phone Number | 9373786849 |
| Fax Number | 9373782679 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1124070107 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2013-03-05 |
Provider Mailing Address Detail
| Address | 4869 State Route 125 |
|---|---|
| City | Georgetown |
| State | Ohio (OH) |
| Post Code | 451219550 |
| Phone Number | 9373786849 |
| Fax Number | 9373782679 |
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 |
|---|---|---|---|
| 991495 | OH | -- | |
| 3659743 | NCPDP NUMBER |
Post Comment/ Review Below
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) 1124070107. This 10-digit code serves as a unique identifier for healthcare providers, assigned 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: 4869 State Route 125, Georgetown, OH, 451219550.
What is the Shopko Stores Operating Co Llc's area of specialization and corresponding taxonomy classification?
The Shopko Stores Operating Co Llc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date was the 1124070107 assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc was issued its 1124070107 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Shopko Stores Operating Co Llc most recently updated or revised?
The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-05.