Shopko Stores Operating Co Llc in Racine - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1174579528
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Racine, 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 1174579528. The last update date is 2013-08-27.
Shopko Stores Operating Co Llc's current location address is 4801 Washington Ave, Racine, Wisconsin. You can contact this provider via phone number 2626378444 and fax number 2626370752. The mailing address for Shopko Stores Operating Co Llc is 4801 Washington Ave, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 4801 Washington Ave, Racine, Wisconsin |
Phone Number | 2626378444 |
Fax Number | 2626370752 |
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 | 1174579528 |
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Provider Enumeration Date | 2006-05-26 |
Last Updated Date | 2013-08-27 |
Provider Mailing Address Detail
Address | 4801 Washington Ave |
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City | Racine |
State | Wisconsin (WI) |
Post Code | 534064219 |
Phone Number | 2626378444 |
Fax Number | 2626370752 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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Taxonomy | 3336C0003X |
Licence No | 8623042 |
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 |
---|---|---|---|
5114563 | NCPDP NUMBER | ||
33017300 | WI | -- |
Post Comment/ Review Below
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) 1174579528, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shopko Stores Operating Co Llc located?
The Shopko Stores Operating Co Llc is located at 4801 Washington Ave, Racine, WI 534064219.
What is the Shopko Stores Operating Co Llc's specialty and taxonomy code?
The Shopko Stores Operating Co Llc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date did the Shopko Stores Operating Co Llc receive its 1174579528 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1174579528 by the Centers for Medicare & Medicaid Services on 2006-05-26.
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 2013-08-27.
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