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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Lewiston, Idaho
NPI 1144275884

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Lewiston, ID and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Lewiston, ID. The NPI Number for Shopko Stores Operating Co Llc is 1144275884 and holds a License No. (Idaho).

The current practice location address for Shopko Stores Operating Co Llc is 2120 Thain Grade, Lewiston, ID and can be reached out via phone at 208-746-1044 and via fax at 208-746-0744.

Location: 2120 Thain Grade, Lewiston, ID, 83501-4105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144275884
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
2120 Thain Grade, Lewiston, ID, 83501-4105
Phone Number
208-746-1044
Fax Number
208-746-0744
Provider Enumeration Date
05/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000311600 05 ID
806730900 05 ID
0215803 01 WA LABOR & INDUSTRY
0004888 01 WA LABOR & INDUSTRY
1304651 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
2120 Thain Grade
City
Lewiston
State
Idaho
Zip
83501-4105
Phone Number
208-746-1044
Fax Number
208-746-0744
person
Provider Business Mailing Address Details
Address
2120 Thain Grade
City
Lewiston
State
Idaho
Zip
83501-4105
Phone Number
208-746-1044
Fax Number
208-746-0744
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
2036CP (Idaho)
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.
2036CP (Idaho)
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
-
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 4
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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