Organization Name: | SHOPKO STORES OPERATING CO LLC |
NPI Number: | 1598710691 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL BETTIGA (EXECUTIVE VICE PRESIDENT & COO) |
Mailing Address: | 1950 Roosevelt Hwy Shelby |
State: | MT US |
Postal Code: | 594740920 |
Phone Number: | 4064342377 |
Fax Number: | 4064345258 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |