Shopko Stores Operating Co Llc in Lacey - Community/retail Pharmacy
Shopko Stores Operating Co Llc - NPI 1962442392
Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Lacey, 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 1962442392. The last update date is 2008-08-14.
Shopko Stores Operating Co Llc's current location address is 5500 Martin Way E, Lacey, Washington. You can contact this provider via phone number 3604564057 and fax number 3604560903. The mailing address for Shopko Stores Operating Co Llc is 5500 Martin Way E, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shopko Stores Operating Co Llc |
---|---|
Address | 5500 Martin Way E, Lacey, Washington |
Phone Number | 3604564057 |
Fax Number | 3604560903 |
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 | 1962442392 |
---|---|
Provider Enumeration Date | 2006-06-07 |
Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
Address | 5500 Martin Way E |
---|---|
City | Lacey |
State | Washington (WA) |
Post Code | 985166326 |
Phone Number | 3604564057 |
Fax Number | 3604560903 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
---|---|
Taxonomy | 3336C0003X |
Licence No | CF00058640 |
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 |
---|---|---|---|
6013270 | WA | -- | |
215810 | WA LABOR & INDUSTRY | ||
47611 | WA LABOR & INDUSTRY | ||
4923175 | NCPDP NUMBER |
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) 1962442392, 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 address where Shopko Stores Operating Co Llc is geographically located?
The Shopko Stores Operating Co Llc is physically situated at the following location: 5500 Martin Way E, Lacey, WA, 985166326.
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 the Shopko Stores Operating Co Llc receive the assignment of its 1962442392 from the Centers for Medicare & Medicaid Services?
The Shopko Stores Operating Co Llc was issued its 1962442392 by the Centers for Medicare & Medicaid Services on 2006-06-07.
As of what date were the details pertaining to Shopko Stores Operating Co Llc last refreshed?
The information related to the Shopko Stores Operating Co Llc, including its address, specialty, and other relevant details, was last updated on 2008-08-14.
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