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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Newaygo, Michigan
NPI 1043263825

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Newaygo, MI and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Newaygo, MI. The NPI Number for Shopko Stores Operating Co Llc is 1043263825 and holds a License No. (Michigan).

The current practice location address for Shopko Stores Operating Co Llc is 91 Pine Lake Dr, Newaygo, MI and can be reached out via phone at 231-652-9484 and via fax at 231-652-9485.

Location: 91 Pine Lake Dr, Newaygo, MI, 49337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043263825
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
91 Pine Lake Dr, Newaygo, MI, 49337
Phone Number
231-652-9484
Fax Number
231-652-9485
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2361436 05 MI
4913875 05 MI
4819210 05 MI
2361436 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
91 Pine Lake Dr
City
Newaygo
State
Michigan
Zip
49337
Phone Number
231-652-9484
Fax Number
231-652-9485
person
Provider Business Mailing Address Details
Address
91 Pine Lake Dr
City
Newaygo
State
Michigan
Zip
49337
Phone Number
231-652-9484
Fax Number
231-652-9485
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 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.
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