Shopko Stores Operating Co Llc in De Pere - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1730135195
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in De Pere, 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 1730135195. The last update date is 2008-08-15.
Shopko Stores Operating Co Llc's current location address is 3705 Monroe Rd, De Pere, Wisconsin. You can contact this provider via phone number 9203366096 and fax number 9203388961. The mailing address for Shopko Stores Operating Co Llc is 3705 Monroe Rd, De Pere, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 3705 Monroe Rd, De Pere, Wisconsin |
| Phone Number | 9203366096 |
| Fax Number | 9203388961 |
| 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 | 1730135195 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2008-08-15 |
Provider Mailing Address Detail
| Address | 3705 Monroe Rd |
|---|---|
| City | De Pere |
| State | Wisconsin (WI) |
| Post Code | 541154020 |
| Phone Number | 9203366096 |
| Fax Number | 9203388961 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 8624042 |
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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 |
|---|---|---|---|
| 5128170 | NCPDP NUMBER | ||
| 33278900 | WI | -- |
Post Comment/ Review Below
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) 1730135195. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
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 3705 Monroe Rd, in the city of De Pere, state of WI, with the postal code 541154020.
What is the area of specialization for Shopko Stores Operating Co Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shopko Stores Operating Co Llc is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.
When did the Shopko Stores Operating Co Llc receive its 1730135195?
The Shopko Stores Operating Co Llc was issued its 1730135195 on 2006-05-26, which is the date when the organization was assigned this unique identifier.
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 2008-08-15.