Shopko Stores Operating Co Llc in Fond Du Lac - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1871549220
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Fond Du Lac, 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 1871549220. The last update date is 2013-12-27.
Shopko Stores Operating Co Llc's current location address is 616 W Johnson St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209215490 and fax number 9209217112. The mailing address for Shopko Stores Operating Co Llc is 616 W Johnson St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 616 W Johnson St, Fond Du Lac, Wisconsin |
Phone Number | 9209215490 |
Fax Number | 9209217112 |
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 | 1871549220 |
---|---|
Provider Enumeration Date | 2006-05-26 |
Last Updated Date | 2013-12-27 |
Provider Mailing Address Detail
Address | 616 W Johnson St |
---|---|
City | Fond Du Lac |
State | Wisconsin (WI) |
Post Code | 549353134 |
Phone Number | 9209215490 |
Fax Number | 9209217112 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
---|---|
Taxonomy | 3336C0003X |
Licence No | 8612042 |
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 |
---|---|---|---|
33049600 | WI | -- | |
5117278 | NCPDP NUMBER |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1871549220?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1871549220. This unique 10-digit identification number is assigned to health care providers 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 616 W Johnson St, Fond Du Lac, WI 549353134.
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.
On what date did Shopko Stores Operating Co Llc receive its 1871549220 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1871549220 on 2006-05-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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 2013-12-27.