Shopko Stores Operating Co Llc in Arcadia - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1972557106
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Arcadia, Wisconsin. 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 1972557106. The last update date is 2012-09-04.
Shopko Stores Operating Co Llc's current location address is 1625 E Blaschko Ave, Arcadia, Wisconsin. You can contact this provider via phone number 6083238134 and fax number 6083238434. The mailing address for Shopko Stores Operating Co Llc is 1625 E Blaschko Ave, Arcadia, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1625 E Blaschko Ave, Arcadia, Wisconsin |
| Phone Number | 6083238134 |
| Fax Number | 6083238434 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1972557106 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2012-09-04 |
Provider Mailing Address Detail
| Address | 1625 E Blaschko Ave |
|---|---|
| City | Arcadia |
| State | Wisconsin (WI) |
| Post Code | 546121835 |
| Phone Number | 6083238134 |
| Fax Number | 6083238434 |
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 |
|---|---|---|---|
| 459230083 | MEDICARE ID - TYPE UNSPECIFIED |
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) 1972557106. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc is situated at 1625 E Blaschko Ave, in the city of Arcadia, state of WI, with the zip code 546121835.
What is Shopko Stores Operating Co Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shopko Stores Operating Co Llc is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
When did the Shopko Stores Operating Co Llc receive its 1972557106?
The Shopko Stores Operating Co Llc was issued its 1972557106 on 2006-05-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-04.
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