Shopko Stores Operating Co Llc in Green Bay - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1982659140
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 1982659140. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 216 S Military Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204990895 and fax number 9204943410. The mailing address for Shopko Stores Operating Co Llc is 216 S Military Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 216 S Military Ave, Green Bay, Wisconsin |
| Phone Number | 9204990895 |
| Fax Number | 9204943410 |
| 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 | 1982659140 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 216 S Military Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543032498 |
| Phone Number | 9204990895 |
| Fax Number | 9204943410 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 8614042 |
|
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 |
|---|---|---|---|
| 33136200 | WI | -- | |
| 5103508 | NCPDP NUMBER |
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) 1982659140. 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 216 S Military Ave, in the city of Green Bay, state of WI, with the zip code 543032498.
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.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982659140 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services originally issued the 1982659140 to Shopko Stores Operating Co Llc on 2006-05-24.
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 2014-06-06.
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