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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Bend, Oregon
NPI 1104878628

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Bend, OR and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Bend, OR. The NPI Number for Shopko Stores Operating Co Llc is 1104878628 and holds a License No. (Oregon).

The current practice location address for Shopko Stores Operating Co Llc is 60 Ne Bend River Mall Dr, Bend, OR and can be reached out via phone at 541-385-6076 and via fax at 541-385-9209.

Location: 60 Ne Bend River Mall Dr, Bend, OR, 97701-7528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104878628
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
60 Ne Bend River Mall Dr, Bend, OR, 97701-7528
Phone Number
541-385-6076
Fax Number
541-385-9209
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3809956 01 NCPDP NUMBER
278350 05 OR
278377 05 OR
000682 05 OR
institution
Provider Business Practice Location Address Details
Address
60 Ne Bend River Mall Dr
City
Bend
State
Oregon
Zip
97701-7528
Phone Number
541-385-6076
Fax Number
541-385-9209
person
Provider Business Mailing Address Details
Address
60 Ne Bend River Mall Dr
City
Bend
State
Oregon
Zip
97701-7528
Phone Number
541-385-6076
Fax Number
541-385-9209
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
1084 (Oregon)
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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