Shopko Stores Operating Co Llc in Salt Lake City - Community/retail Pharmacy

Shopko Stores Operating Co Llc - NPI 1619928793

Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Salt Lake City, 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 1619928793. The last update date is 2014-06-06.

Shopko Stores Operating Co Llc's current location address is 5800 S Redwood Rd, Salt Lake City, Utah. You can contact this provider via phone number 8019675100 and fax number 8019648201. The mailing address for Shopko Stores Operating Co Llc is 5800 S Redwood Rd, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 5800 S Redwood Rd, Salt Lake City, Utah
Phone Number 8019675100
Fax Number 8019648201
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 1619928793
Provider Enumeration Date 2006-05-13
Last Updated Date 2014-06-06

Provider Mailing Address Detail

Address 5800 S Redwood Rd
City Salt Lake City
State Utah (UT)
Post Code 841235327
Phone Number 8019675100
Fax Number 8019648201

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 1313471703
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
4606717 NCPDP NUMBER
410985054040 UT --

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FAQs about Shopko Stores Operating Co Llc

What is the unique 10-digit 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) 1619928793 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Shopko Stores Operating Co Llc?

The Shopko Stores Operating Co Llc is situated at 5800 S Redwood Rd, in the city of Salt Lake City, state of UT, with the zip code 841235327.

What is Shopko Stores Operating Co Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

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

When did Shopko Stores Operating Co Llc receive its 1619928793 assignment?

The Shopko Stores Operating Co Llc was assigned its 1619928793 on 2006-05-13, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Shopko Stores Operating Co Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-06.

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