Shopko Stores Operating Co Llc in Green Bay - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1073568242
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Green Bay, 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 1073568242. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 301 Bay Park Sq, Green Bay, Wisconsin. You can contact this provider via phone number 9204995889 and fax number 9204999215. The mailing address for Shopko Stores Operating Co Llc is 301 Bay Park Sq, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 301 Bay Park Sq, Green Bay, Wisconsin |
| Phone Number | 9204995889 |
| Fax Number | 9204999215 |
| 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 | 1073568242 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 301 Bay Park Sq |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543045104 |
| Phone Number | 9204995889 |
| Fax Number | 9204999215 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 8620042 |
|
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 |
|---|---|---|---|
| 33017500 | WI | -- | |
| 5114537 | NCPDP NUMBER |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1073568242?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1073568242. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shopko Stores Operating Co Llc's facilities are geographically located?
The facilities of Shopko Stores Operating Co Llc are physically situated at the following location: 301 Bay Park Sq, Green Bay, WI, 543045104.
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 was the 1073568242 assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc was issued its 1073568242 on 2006-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2014-06-06.