Shopko Stores Operating Co Llc in Marinette - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1477509826
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Marinette, 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 1477509826. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 2741 Roosevelt Rd, Marinette, Wisconsin. You can contact this provider via phone number 7157350325 and fax number 7157350111. The mailing address for Shopko Stores Operating Co Llc is 2741 Roosevelt Rd, Marinette, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
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Address | 2741 Roosevelt Rd, Marinette, Wisconsin |
Phone Number | 7157350325 |
Fax Number | 7157350111 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SR. VICE P |
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Authorized Official Name | Bettiga J Michael |
Credentials | RPH |
Telephone Number | 9204294297 |
NPI Number Detail
NPI Number | 1477509826 |
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Provider Enumeration Date | 2006-05-26 |
Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
Address | 2741 Roosevelt Rd |
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City | Marinette |
State | Wisconsin (WI) |
Post Code | 541433833 |
Phone Number | 7157350325 |
Fax Number | 7157350111 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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Taxonomy | 3336C0003X |
Licence No | 8600042 |
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 |
---|---|---|---|
33171000 | WI | -- | |
4913409 | MI | -- | |
2653481 | MI | -- | |
5120148 | NCPDP NUMBER | ||
5120148 | MI | -- |
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What is the unique 10-digit identifier code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1477509826 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
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: 2741 Roosevelt Rd, Marinette, WI, 541433833.
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 1477509826 assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc was issued its 1477509826 on 2006-05-26, 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.