Shopko Stores Operating Co Llc in Watertown - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1962453845
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Watertown, South Dakota. 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 1962453845. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 700 9th Ave Se, Watertown, South Dakota. You can contact this provider via phone number 6058822011 and fax number 6058866715. The mailing address for Shopko Stores Operating Co Llc is 700 9th Ave Se, Watertown, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 700 9th Ave Se, Watertown, South Dakota |
| Phone Number | 6058822011 |
| Fax Number | 6058866715 |
| 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 | 1962453845 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 700 9th Ave Se |
|---|---|
| City | Watertown |
| State | South Dakota (SD) |
| Post Code | 572015222 |
| Phone Number | 6058822011 |
| Fax Number | 6058866715 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 1001907 |
|
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 |
|---|---|---|---|
| 8502832 | SD | -- | |
| 8502830 | SD | -- | |
| 4303880 | NCPDP NUMBER | ||
| 979757200 | MN | -- | |
| 9165520 | SD | -- | |
| 260433000 | MN | -- | |
| 9165522 | SD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1962453845 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is physically situated at 700 9Th Ave Se, in the city of Watertown, state of SD, with the postal code 572015222.
What is Shopko Stores Operating Co Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shopko Stores Operating Co Llc's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.
When was the Shopko Stores Operating Co Llc's 1962453845 issued?
The Shopko Stores Operating Co Llc's 1962453845 was issued on 2006-05-15.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2014-06-06.