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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Marquette, Michigan
NPI 1104875731

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Marquette, MI and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Marquette, MI. The NPI Number for Shopko Stores Operating Co Llc is 1104875731 and holds a License No. (Michigan).

The current practice location address for Shopko Stores Operating Co Llc is 1150 W Washington St, Marquette, MI and can be reached out via phone at 906-228-8380 and via fax at 906-228-3565.

Location: 1150 W Washington St, Marquette, MI, 49855-4040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104875731
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
1150 W Washington St, Marquette, MI, 49855-4040
Phone Number
906-228-8380
Fax Number
906-228-3565
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2306909 01 NCPDP NUMBER
9000E210860 01 MI BLUE CROSS PIN
2306909 05 MI
4913356 01 MI MEDICAID DME
4819069 01 MI MEDICAID DME
institution
Provider Business Practice Location Address Details
Address
1150 W Washington St
City
Marquette
State
Michigan
Zip
49855-4040
Phone Number
906-228-8380
Fax Number
906-228-3565
person
Provider Business Mailing Address Details
Address
1150 W Washington St
City
Marquette
State
Michigan
Zip
49855-4040
Phone Number
906-228-8380
Fax Number
906-228-3565
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
5301008354 (Michigan)
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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