Shopko Stores Operating Co Llc in Kennewick - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1053351486
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Kennewick, Washington. 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 1053351486. The last update date is 2014-06-06.
Shopko Stores Operating Co Llc's current location address is 867 N Columbia Center Blvd, Kennewick, Washington. You can contact this provider via phone number 5097360505 and fax number 5097830214. The mailing address for Shopko Stores Operating Co Llc is 867 N Columbia Center Blvd, Kennewick, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shopko Stores Operating Co Llc |
|---|---|
| Address | 867 N Columbia Center Blvd, Kennewick, Washington |
| Phone Number | 5097360505 |
| Fax Number | 5097830214 |
| 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 | 1053351486 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 867 N Columbia Center Blvd |
|---|---|
| City | Kennewick |
| State | Washington (WA) |
| Post Code | 993367771 |
| Phone Number | 5097360505 |
| Fax Number | 5097830214 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | CF00058647 |
|
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 |
|---|---|---|---|
| 6130025 | WA | -- | |
| 215809 | WA LABOR & INDUSTRY | ||
| 56488 | WA LABOR & INDUSTRY | ||
| 4919683 | NCPDP NUMBER |
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) 1053351486. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Shopko Stores Operating Co Llc is physically located?
The Shopko Stores Operating Co Llc is situated at the following address: 867 N Columbia Center Blvd, Kennewick, WA 993367771.
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.
When was the Shopko Stores Operating Co Llc's 1053351486 issued?
The Shopko Stores Operating Co Llc's 1053351486 was issued on 2006-06-07.
As of what date were the Shopko Stores Operating Co Llc's details last updated?
The information pertaining to the Shopko Stores Operating Co Llc, including its address, specialty, and other details, was most recently updated on 2014-06-06.
NPI Number: 1730182858
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