Shopko Stores Operating Co Llc in West Bend - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1245285865
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in West Bend, 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 1245285865. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 1710 S Main St, West Bend, Wisconsin. You can contact this provider via phone number 2623380222 and fax number 2623383505. The mailing address for Shopko Stores Operating Co Llc is 1710 S Main St, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1710 S Main St, West Bend, Wisconsin |
| Phone Number | 2623380222 |
| Fax Number | 2623383505 |
| 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 | 1245285865 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 1710 S Main St |
|---|---|
| City | West Bend |
| State | Wisconsin (WI) |
| Post Code | 530954938 |
| Phone Number | 2623380222 |
| Fax Number | 2623383505 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 8632042 |
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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 |
|---|---|---|---|
| 5118585 | NCPDP NUMBER | ||
| 33071900 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shopko Stores Operating Co Llc?
The Shopko Stores Operating Co Llc has been issued the NPI (National Provider Identifier) 1245285865 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Shopko Stores Operating Co Llc located?
The Shopko Stores Operating Co Llc is located at 1710 S Main St, West Bend, WI 530954938.
What is Shopko Stores Operating Co Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shopko Stores Operating Co Llc's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245285865 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services originally issued the 1245285865 to Shopko Stores Operating Co Llc on 2006-05-23.
As of what date was the information regarding Shopko Stores Operating Co Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-06-06.