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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers |
| NPI Number | 1508819376 |
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| LBN Legal business name | SHOPKO STORES OPERATING CO LLC | ||||||||||||||||||||
| Authorized official | MICHAEL BETTIGA - (SR. VICE PRESIDENT HEALTH SERVICES) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 05/19/2006 | ||||||||||||||||||||
| Last updated | 12/21/2015 - About 10 years ago | ||||||||||||||||||||
| Identifiers |
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SHOPKO STORES OPERATING CO LLC