Shopko Stores Operating Co Llc in Sister Bay - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1609062025
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Sister Bay, 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 1609062025. The last update date is 2012-09-18.
Shopko Stores Operating Co Llc's current location address is 2541 S Bay Shore Dr, Sister Bay, Wisconsin. You can contact this provider via phone number 9208549182 and fax number 9208549184. The mailing address for Shopko Stores Operating Co Llc is 2541 S Bay Shore Dr, Sister Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2541 S Bay Shore Dr, Sister Bay, Wisconsin |
| Phone Number | 9208549182 |
| Fax Number | 9208549184 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1609062025 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2012-09-18 |
Provider Mailing Address Detail
| Address | 2541 S Bay Shore Dr |
|---|---|
| City | Sister Bay |
| State | Wisconsin (WI) |
| Post Code | 542349158 |
| Phone Number | 9208549182 |
| Fax Number | 9208549184 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
|
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 |
|---|---|---|---|
| 36221800 | WI | -- |
Post Comment/ Review Below
What is the unique 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) 1609062025. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
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: 2541 S Bay Shore Dr, Sister Bay, WI, 542349158.
What is Shopko Stores Operating Co Llc's area of expertise and its corresponding taxonomy classification?
The Shopko Stores Operating Co Llc's field of specialization is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their areas of practice.
When did Shopko Stores Operating Co Llc receive its 1609062025 assignment?
The Shopko Stores Operating Co Llc was assigned its 1609062025 on 2007-09-19, which is the date when this unique identifier was issued to the organization.
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 2012-09-18.
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