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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Worthington, Minnesota
NPI 1063466852

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Worthington, MN and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Worthington, MN. The NPI Number for Shopko Stores Operating Co Llc is 1063466852 and holds a License No. (Minnesota).

The current practice location address for Shopko Stores Operating Co Llc is 1755 N Humiston Ave, Worthington, MN and can be reached out via phone at 507-376-9309 and via fax at 507-372-7840.

Location: 1755 N Humiston Ave, Worthington, MN, 56187-1757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063466852
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
1755 N Humiston Ave, Worthington, MN, 56187-1757
Phone Number
507-376-9309
Fax Number
507-372-7840
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060258200 05 MN
0509463 05 IA
788690100 05 MN
166523500 05 MN
2416801 01 NCPDP NUMBER
0722512 05 IA
institution
Provider Business Practice Location Address Details
Address
1755 N Humiston Ave
City
Worthington
State
Minnesota
Zip
56187-1757
Phone Number
507-376-9309
Fax Number
507-372-7840
person
Provider Business Mailing Address Details
Address
1755 N Humiston Ave
City
Worthington
State
Minnesota
Zip
56187-1757
Phone Number
507-376-9309
Fax Number
507-372-7840
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
2628040 (Minnesota)
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
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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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