Shopko Stores Operating Co Llc in Sheboygan - Community/retail Pharmacy

Shopko Stores Operating Co Llc - NPI 1144275868

Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Sheboygan, 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 1144275868. The last update date is 2008-08-14.

Shopko Stores Operating Co Llc's current location address is 518 S Taylor Dr, Sheboygan, Wisconsin. You can contact this provider via phone number 9204580040 and fax number 9204583418. The mailing address for Shopko Stores Operating Co Llc is 518 S Taylor Dr, Sheboygan, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 518 S Taylor Dr, Sheboygan, Wisconsin
Phone Number 9204580040
Fax Number 9204583418
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 1144275868
Provider Enumeration Date 2006-05-23
Last Updated Date 2008-08-14

Provider Mailing Address Detail

Address 518 S Taylor Dr
City Sheboygan
State Wisconsin (WI)
Post Code 530814253
Phone Number 9204580040
Fax Number 9204583418

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 8601042
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
5121657 NCPDP NUMBER
33195100 WI --

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FAQs about Shopko Stores Operating Co Llc

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) 1144275868 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as 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: 518 S Taylor Dr, Sheboygan, WI, 530814253.

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 was the Shopko Stores Operating Co Llc's 1144275868 issued?

The Shopko Stores Operating Co Llc's 1144275868 was issued on 2006-05-23.

As of what date were the details pertaining to Shopko Stores Operating Co Llc last refreshed?

The information related to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated on 2008-08-14.

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