Shopko Stores Operating Co Llc in Kimberly - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1083660435
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Kimberly, 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 1083660435. The last update date is 2014-05-22.
Shopko Stores Operating Co Llc's current location address is 800 E Maes Ave, Kimberly, Wisconsin. You can contact this provider via phone number 9207889154 and fax number 9207883255. The mailing address for Shopko Stores Operating Co Llc is 800 E Maes Ave, Kimberly, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 800 E Maes Ave, Kimberly, Wisconsin |
| Phone Number | 9207889154 |
| Fax Number | 9207883255 |
| 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 | 1083660435 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
| Address | 800 E Maes Ave |
|---|---|
| City | Kimberly |
| State | Wisconsin (WI) |
| Post Code | 541361527 |
| Phone Number | 9207889154 |
| Fax Number | 9207883255 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 8622042 |
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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 |
|---|---|---|---|
| 5114549 | NCPDP NUMBER | ||
| 33017200 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1083660435 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shopko Stores Operating Co Llc's facilities are situated?
The facilities of Shopko Stores Operating Co Llc are physically located at the following address: 800 E Maes Ave, Kimberly, WI, 541361527.
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.
On what date did the Centers for Medicare & Medicaid Services issue the 1083660435 to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc received its 1083660435 assignment from the Centers for Medicare & Medicaid Services on 2006-05-26.
As of what date were the Shopko Stores Operating Co Llc's details last updated?
The information pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other details, was most recently updated on 2014-05-22.