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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Chubbuck, Idaho
NPI 1255378907

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Chubbuck, ID and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Chubbuck, ID. The NPI Number for Shopko Stores Operating Co Llc is 1255378907 and holds a License No. (Idaho).

The current practice location address for Shopko Stores Operating Co Llc is 4215 Yellowstone Ave, Chubbuck, ID and can be reached out via phone at 208-237-6828 and via fax at 208-238-8371. You can also correspond with Shopko Stores Operating Co Llc through the mailing address at 4215 YELLOWSTONE AVE, CHUBBUCK, ID - 83202-2419 (mailing address contact number: 208-237-6828).

Location: 4215 Yellowstone Ave, Chubbuck, ID, 83202-2419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255378907
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
4215 Yellowstone Ave, Chubbuck, ID, 83202-2419
Phone Number
208-237-6828
Fax Number
208-238-8371
Provider Enumeration Date
06/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000123300 05 ID
1304550 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
4215 Yellowstone Ave
City
Chubbuck
State
Idaho
Zip
83202-2419
Phone Number
208-237-6828
Fax Number
208-238-8371
person
Provider Business Mailing Address Details
Address
4215 Yellowstone Ave
City
Chubbuck
State
Idaho
Zip
83202-2419
Phone Number
208-237-6828
Fax Number
208-238-8371
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
2039CP (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.
2039CP (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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