Shopko Stores Operating Co Llc, NPI 1295921435
Community/Retail Pharmacy in Ainsworth, NE, 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 1295921435
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 1511 East 4th, Ainsworth, NE, US
Provider Mailing Address 1511 East 4th, Ainsworth, NE, US, 69210
Is Sole Proprietor? No
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Organization Official

Official Name MR. RPH Michael Bettiga
Official Position EXECUTIVE VICE PRESIDENT AND COO
Phone 920-429-4297

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

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 673
Doing Business As

Business Address

Shopko Stores Operating Co Llc
1511 East 4th

Ainsworth, NE, US

Phone: 402-387-1533
Fax: 402-387-1749

Mailing Address

Shopko Stores Operating Co Llc
1511 East 4th
Ainsworth, NE, US
ZIP 69210
Phone: 402-387-1533
Fax: 402-387-1749

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
8535370 SD MEDICAID 05
10025566200 NE MEDICAID 05

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