institution
Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Escanaba, Michigan
NPI 1396796892

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Escanaba, MI and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Escanaba, MI. The NPI Number for Shopko Stores Operating Co Llc is 1396796892 and holds a License No. (Michigan).

The current practice location address for Shopko Stores Operating Co Llc is 2530 1St Ave N, Escanaba, MI and can be reached out via phone at 906-786-2011 and via fax at 906-786-2816.

Location: 2530 1St Ave N, Escanaba, MI, 49829-1390
institution
Provider Profile Details
NPI Number
1396796892
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
2530 1St Ave N, Escanaba, MI, 49829-1390
Phone Number
906-786-2011
Fax Number
906-786-2816
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4819040 01 MI MEDICAID DME
4913383 01 MI MEDICAID DME
2341763 05 MI
9000B11041 01 MI BLUE CROSS PIN
2341763 01 NCPDP #
institution
Provider Business Practice Location Address Details
Address
2530 1St Ave N
City
State
Zip
49829-1390
Phone Number
906-786-2011
Fax Number
906-786-2816
person
Provider Business Mailing Address Details
Address
2530 1St Ave N
City
State
Zip
49829-1390
Phone Number
906-786-2011
Fax Number
906-786-2816
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
5301008360 (Michigan)
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
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
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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