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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Missoula, Montana
NPI 1215981014

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Missoula, MT and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Missoula, MT. The NPI Number for Shopko Stores Operating Co Llc is 1215981014 and holds a License No. (Montana).

The current practice location address for Shopko Stores Operating Co Llc is 2510 S Reserve St, Missoula, MT and can be reached out via phone at 406-721-3789 and via fax at 406-721-3859.

Location: 2510 S Reserve St, Missoula, MT, 59801-7546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215981014
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
2510 S Reserve St, Missoula, MT, 59801-7546
Phone Number
406-721-3789
Fax Number
406-721-3859
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0163513 01 WA LABOR & INDUSTRY
0212030 05 MT
5607355 05 MT
0215807 01 WA LABOR & INDUSTRY
0230469 05 MT
5607892 05 MT
2704408 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
2510 S Reserve St
City
Missoula
State
Montana
Zip
59801-7546
Phone Number
406-721-3789
Fax Number
406-721-3859
person
Provider Business Mailing Address Details
Address
2510 S Reserve St
City
Missoula
State
Montana
Zip
59801-7546
Phone Number
406-721-3789
Fax Number
406-721-3859
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
1199 (Montana)
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
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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