Shopko Stores Operating Co Llc in Spokane Valley - Community/retail Pharmacy

Shopko Stores Operating Co Llc - NPI 1144269184

Shopko Stores Operating Co Llc is a Community/retail Pharmacy in Spokane Valley, 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 1144269184. The last update date is 2008-12-16.

Shopko Stores Operating Co Llc's current location address is 13414 E Sprague Ave, Spokane Valley, Washington. You can contact this provider via phone number 5099241744 and fax number 5099249724. The mailing address for Shopko Stores Operating Co Llc is 13414 E Sprague Ave, Spokane Valley, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shopko Stores Operating Co Llc
Address 13414 E Sprague Ave, Spokane Valley, Washington
Phone Number 5099241744
Fax Number 5099249724
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 1144269184
Provider Enumeration Date 2006-06-05
Last Updated Date 2008-12-16

Provider Mailing Address Detail

Address 13414 E Sprague Ave
City Spokane Valley
State Washington (WA)
Post Code 992160848
Phone Number 5099241744
Fax Number 5099249724

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No CF00058643
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
6004063 WA --
12849 WA LABOR & INDUSTRY
215804 WA LABOR & INDUSTRY
4918263 NCPDP NUMBER

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FAQs about Shopko Stores Operating Co Llc

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) 1144269184, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

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 13414 E Sprague Ave, in the city of Spokane Valley, state of WA, with the postal code 992160848.

What is Shopko Stores Operating Co Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

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

On what date did the Shopko Stores Operating Co Llc receive the assignment of its 1144269184 from the Centers for Medicare & Medicaid Services?

The Shopko Stores Operating Co Llc was issued its 1144269184 by the Centers for Medicare & Medicaid Services on 2006-06-05.

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 2008-12-16.

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