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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Walla Walla, Washington
NPI 1144260571

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Walla Walla, WA and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Walla Walla, WA. The NPI Number for Shopko Stores Operating Co Llc is 1144260571 and holds a License No. (Washington).

The current practice location address for Shopko Stores Operating Co Llc is 1651 W Rose St, Walla Walla, WA and can be reached out via phone at 509-525-9207 and via fax at 509-529-7061.

Location: 1651 W Rose St, Walla Walla, WA, 99362-1771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144260571
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
1651 W Rose St, Walla Walla, WA, 99362-1771
Phone Number
509-525-9207
Fax Number
509-529-7061
Provider Enumeration Date
06/07/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0215798 01 WA LABOR & INDUSTRY
278381 05 OR
278351 05 OR
0050989 01 WA LABOR & INDUSTRY
029348 05 OR
4919695 01 NCPDP NUMBER
0006130033 05 WA
institution
Provider Business Practice Location Address Details
Address
1651 W Rose St
City
Walla Walla
State
Washington
Zip
99362-1771
Phone Number
509-525-9207
Fax Number
509-529-7061
person
Provider Business Mailing Address Details
Address
1651 W Rose St
City
Walla Walla
State
Washington
Zip
99362-1771
Phone Number
509-525-9207
Fax Number
509-529-7061
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
CF00058648 (Washington)
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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