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

Shopko Stores Operating Co Llc - NPI 1477504793

Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Murray, Utah. 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 1477504793. The last update date is 2008-08-14.

Shopko Stores Operating Co Llc's current location address is 5959 S State St, Murray, Utah. You can contact this provider via phone number 8012613737 and fax number 8012610702. The mailing address for Shopko Stores Operating Co Llc is 5959 S State St, Murray, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 5959 S State St, Murray, Utah
Phone Number 8012613737
Fax Number 8012610702
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 1477504793
Provider Enumeration Date 2006-05-12
Last Updated Date 2008-08-14

Provider Mailing Address Detail

Address 5959 S State St
City Murray
State Utah (UT)
Post Code 841077222
Phone Number 8012613737
Fax Number 8012610702

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 1313081703
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
410985054036 UT --
4606680 NCPDP NUMBER

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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) 1477504793. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Shopko Stores Operating Co Llc located?

The Shopko Stores Operating Co Llc is located at 5959 S State St, Murray, UT 841077222.

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

The area of specialization for Shopko Stores Operating Co Llc is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.

On what date did the Shopko Stores Operating Co Llc receive its 1477504793 assignment from the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co Llc was assigned its 1477504793 by the Centers for Medicare & Medicaid Services on 2006-05-12.

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 2008-08-14.

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