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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Port Washington, Wisconsin
NPI 1619922028

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Port Washington, WI and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Port Washington, WI. The NPI Number for Shopko Stores Operating Co Llc is 1619922028 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co Llc is 1011 N Wisconsin St, Port Washington, WI and can be reached out via phone at 262-284-3436 and via fax at 262-284-3422.

Location: 1011 N Wisconsin St, Port Washington, WI, 53074-1207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619922028
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
1011 N Wisconsin St, Port Washington, WI, 53074-1207
Phone Number
262-284-3436
Fax Number
262-284-3422
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33277300 05 WI
5128017 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
1011 N Wisconsin St
City
Port Washington
State
Wisconsin
Zip
53074-1207
Phone Number
262-284-3436
Fax Number
262-284-3422
person
Provider Business Mailing Address Details
Address
1011 N Wisconsin St
City
Port Washington
State
Wisconsin
Zip
53074-1207
Phone Number
262-284-3436
Fax Number
262-284-3422
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
8611042 (Wisconsin)
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
-
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 3
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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