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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Belvidere, Illinois
NPI 1487680443

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Belvidere, IL and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Belvidere, IL. The NPI Number for Shopko Stores Operating Co Llc is 1487680443 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co Llc is 1400 Big Thunder Blvd, Belvidere, IL and can be reached out via phone at 815-547-3440 and via fax at 815-547-8812.

Location: 1400 Big Thunder Blvd, Belvidere, IL, 61008-1726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487680443
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
1400 Big Thunder Blvd, Belvidere, IL, 61008-1726
Phone Number
815-547-3440
Fax Number
815-547-8812
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1466223 01 NCPDP NUMBER
410985054002 05 IL
institution
Provider Business Practice Location Address Details
Address
1400 Big Thunder Blvd
City
Belvidere
State
Illinois
Zip
61008-1726
Phone Number
815-547-3440
Fax Number
815-547-8812
person
Provider Business Mailing Address Details
Address
1400 Big Thunder Blvd
City
Belvidere
State
Illinois
Zip
61008-1726
Phone Number
815-547-3440
Fax Number
815-547-8812
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
054015891 (Illinois)
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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