Shopko Stores Operating Co Llc in Rochester - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1336192194
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Rochester, Minnesota. 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 1336192194. The last update date is 2013-04-23.
Shopko Stores Operating Co Llc's current location address is 2820 Highway 63 S, Rochester, Minnesota. You can contact this provider via phone number 5072810688 and fax number 5072814612. The mailing address for Shopko Stores Operating Co Llc is 2820 Highway 63 S, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 2820 Highway 63 S, Rochester, Minnesota |
| Phone Number | 5072810688 |
| Fax Number | 5072814612 |
| 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 | 1336192194 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2013-04-23 |
Provider Mailing Address Detail
| Address | 2820 Highway 63 S |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559045571 |
| Phone Number | 5072810688 |
| Fax Number | 5072814612 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 2628008 |
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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 |
|---|---|---|---|
| 347223000 | MN | -- | |
| 798663000 | MN | -- | |
| 2415429 | NCPDP NUMBER | ||
| 176257500 | MN | -- |
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) 1336192194, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
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: 2820 Highway 63 S, Rochester, MN, 559045571.
What is the area of specialization for Shopko Stores Operating Co Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shopko Stores Operating Co Llc is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336192194 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services originally issued the 1336192194 to Shopko Stores Operating Co Llc on 2006-05-19.
When was the Shopko Stores Operating Co Llc's information last updated?
The Shopko Stores Operating Co Llc's information was last updated on 2013-04-23.