Shopko Stores Operating Co Llc in West Jordan - Community/retail Pharmacy

Shopko Stores Operating Co Llc - NPI 1669423737

Shopko Stores Operating Co Llc is a Community/retail Pharmacy in West Jordan, Utah. 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 1669423737. The last update date is 2014-03-05.

Shopko Stores Operating Co Llc's current location address is 1553 W 9000 S, West Jordan, Utah. You can contact this provider via phone number 8015625400 and fax number 8012555669. The mailing address for Shopko Stores Operating Co Llc is 1553 W 9000 S, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 1553 W 9000 S, West Jordan, Utah
Phone Number 8015625400
Fax Number 8012555669
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 1669423737
Provider Enumeration Date 2006-05-13
Last Updated Date 2014-03-05

Provider Mailing Address Detail

Address 1553 W 9000 S
City West Jordan
State Utah (UT)
Post Code 840889219
Phone Number 8015625400
Fax Number 8012555669

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 1313331703
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
410985054022 UT --
4606705 NCPDP NUMBER

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FAQs about Shopko Stores Operating Co Llc

What is the unique 10-digit identification 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) 1669423737 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Shopko Stores Operating Co Llc?

The Shopko Stores Operating Co Llc is physically situated at 1553 W 9000 S, in the city of West Jordan, state of UT, with the postal code 840889219.

What is Shopko Stores Operating Co Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shopko Stores Operating Co Llc is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.

On what date was the 1669423737 assigned to Shopko Stores Operating Co Llc?

The Shopko Stores Operating Co Llc was issued its 1669423737 on 2006-05-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Shopko Stores Operating Co Llc most recently updated or refreshed?

The details pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-03-05.

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