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Shopko Stores Operating Co. Llc
Community/Retail Pharmacy in Peoria, Illinois
NPI 1538195300

Shopko Stores Operating Co. Llc is a Community/Retail Pharmacy based in Peoria, IL and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co. Llc practices in Peoria, IL. The NPI Number for Shopko Stores Operating Co. Llc is 1538195300 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co. Llc is 2323 W Pioneer Pkwy, Peoria, IL and can be reached out via phone at 309-691-4682 and via fax at 309-691-4807.

Location: 2323 W Pioneer Pkwy, Peoria, IL, 61615-1833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538195300
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
2323 W Pioneer Pkwy, Peoria, IL, 61615-1833
Phone Number
309-691-4682
Fax Number
309-691-4807
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410985054174 05 IL
1473014 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
2323 W Pioneer Pkwy
City
Peoria
State
Illinois
Zip
61615-1833
Phone Number
309-691-4682
Fax Number
309-691-4807
person
Provider Business Mailing Address Details
Address
2323 W Pioneer Pkwy
City
Peoria
State
Illinois
Zip
61615-1833
Phone Number
309-691-4682
Fax Number
309-691-4807
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(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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