Shopko Stores Operating Co Llc, NPI 1124072921
Community/Retail Pharmacy in Helena, MT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1124072921
NPI Entity Type Organization
Provider Name Shopko Stores Operating Co Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3101 N Montana Ave, Helena, MT, US
Provider Mailing Address 3101 N Montana Ave, Helena, MT, US, 596027813
Is Sole Proprietor? No
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Organization Official

Official Name Dilip Sedani
Official Position VP MANAGED HEALTH CARE
Phone 920-429-7688

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 1197
License State MT
Description 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

ShopKo Pharmacy 112
Doing Business As

Business Address

Shopko Stores Operating Co Llc
3101 N Montana Ave

Helena, MT, US

Phone: 406-443-8823
Fax: 406-443-2282

Mailing Address

Shopko Stores Operating Co Llc
3101 N Montana Ave
Helena, MT, US
ZIP 596027813
Phone: 406-443-8823
Fax: 406-443-2282

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332H00000X

Suppliers

Eyewear Supplier

No

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
5607331 MT MEDICAID 05
0213577 MT MEDICAID 05
0230435 MT MEDICAID 05
5607909 MT MEDICAID 05
2705018 NCPDP NUMBER 01

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Clinic/Center

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MPT Duane M Verhasselt

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Wholly Authentic Life Llc

Organization

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201 1st Ave N

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1457076101

PMHNP Brian Ipock

Individual

Psychiatric/Mental Health Nurse Practitioner

500 15th Ave S

Great Falls, MT

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