Shopko Stores Operating Co Llc in La Crosse - Community/retail Pharmacy

Shopko Stores Operating Co Llc - NPI 1790731438

Shopko Stores Operating Co Llc is a Community/retail Pharmacy in La Crosse, 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 1790731438. The last update date is 2008-08-06.

Shopko Stores Operating Co Llc's current location address is 2400 Rose St, La Crosse, Wisconsin. You can contact this provider via phone number 6087813300 and fax number 6087837810. The mailing address for Shopko Stores Operating Co Llc is 2400 Rose St, La Crosse, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 2400 Rose St, La Crosse, Wisconsin
Phone Number 6087813300
Fax Number 6087837810
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 1790731438
Provider Enumeration Date 2006-05-25
Last Updated Date 2008-08-06

Provider Mailing Address Detail

Address 2400 Rose St
City La Crosse
State Wisconsin (WI)
Post Code 546031612
Phone Number 6087813300
Fax Number 6087837810

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 8613042
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
423358100 MN --
883693000 MN --
33135500 WI --
5106516 NCPDP NUMBER

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FAQs about Shopko Stores Operating Co Llc

What is the unique 10-digit 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) 1790731438, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Shopko Stores Operating Co Llc is geographically located?

The Shopko Stores Operating Co Llc is physically situated at the following location: 2400 Rose St, La Crosse, WI, 546031612.

What is Shopko Stores Operating Co Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shopko Stores Operating Co Llc is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.

When did Shopko Stores Operating Co Llc receive its 1790731438 assignment?

The Shopko Stores Operating Co Llc was assigned its 1790731438 on 2006-05-25, which is the date when this unique identifier was issued to the organization.

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 2008-08-06.

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