Shopko Stores Operating Co Llc in Ainsworth - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1295921435
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Ainsworth, Nebraska. 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 1295921435. The last update date is 2012-12-31.
Shopko Stores Operating Co Llc's current location address is 1511 East 4th, Ainsworth, Nebraska. You can contact this provider via phone number 4023871533 and fax number 4023871749. The mailing address for Shopko Stores Operating Co Llc is 1511 East 4th, Ainsworth, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 1511 East 4th, Ainsworth, Nebraska |
| Phone Number | 4023871533 |
| Fax Number | 4023871749 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bettiga Michael |
| Credentials | RPH |
| Telephone Number | 9204294297 |
NPI Number Detail
| NPI Number | 1295921435 |
|---|---|
| Provider Enumeration Date | 2007-09-21 |
| Last Updated Date | 2012-12-31 |
Provider Mailing Address Detail
| Address | 1511 East 4th |
|---|---|
| City | Ainsworth |
| State | Nebraska (NE) |
| Post Code | 69210 |
| Phone Number | 4023871533 |
| Fax Number | 4023871749 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
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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 |
|---|---|---|---|
| 8535370 | SD | -- | |
| 10025566200 | NE | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shopko Stores Operating Co Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Shopko Stores Operating Co Llc has been assigned the NPI (National Provider Identifier) 1295921435. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Shopko Stores Operating Co Llc is physically located?
The Shopko Stores Operating Co Llc is physically situated at the following address: 1511 East 4Th, Ainsworth, NE, 69210.
What is the Shopko Stores Operating Co Llc's specialty and taxonomy code?
The Shopko Stores Operating Co Llc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date did Shopko Stores Operating Co Llc receive its 1295921435 assignment from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was assigned its 1295921435 on 2007-09-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Shopko Stores Operating Co Llc most recently updated or revised?
The information pertaining to Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-31.
NPI Number: 1932102142
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