Shopko Stores Operating Co Llc in Rochester - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1518911353
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 1518911353. The last update date is 2008-08-06.
Shopko Stores Operating Co Llc's current location address is 3708 Highway 63 N, Rochester, Minnesota. You can contact this provider via phone number 5072810658 and fax number 5072814614. The mailing address for Shopko Stores Operating Co Llc is 3708 Highway 63 N, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 3708 Highway 63 N, Rochester, Minnesota |
| Phone Number | 5072810658 |
| Fax Number | 5072814614 |
| 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 | 1518911353 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2008-08-06 |
Provider Mailing Address Detail
| Address | 3708 Highway 63 N |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559063902 |
| Phone Number | 5072810658 |
| Fax Number | 5072814614 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 2628011 |
|
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 |
|---|---|---|---|
| 177703 | WLI | ||
| 356447000 | MN | -- | |
| 2415431 | NCPDP NUMBER | ||
| 306257100 | MN | -- | |
| 215799 | WLI |
Post Comment/ Review Below
What is the Shopko Stores Operating Co Llc's 1518911353?
The Shopko Stores Operating Co Llc's NPI (National Provider Identifier) Number is 1518911353. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shopko Stores Operating Co Llc's physical address?
The Shopko Stores Operating Co Llc is physically located at 3708 Highway 63 N, in the city of Rochester, MN, with the postal code 559063902.
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 1518911353 to Shopko Stores Operating Co Llc?
The Centers for Medicare & Medicaid Services originally issued the 1518911353 to Shopko Stores Operating Co Llc on 2006-05-19.
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 2008-08-06.