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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Redding, California
NPI 1659316107

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Redding, CA and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Redding, CA. The NPI Number for Shopko Stores Operating Co Llc is 1659316107 and holds a License No. PHY47484 (California).

The current practice location address for Shopko Stores Operating Co Llc is 55 Lake Blvd, Redding, CA and can be reached out via phone at 530-241-0713 and via fax at 530-241-1447.

Location: 55 Lake Blvd, Redding, CA, 96003-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659316107
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
55 Lake Blvd, Redding, CA, 96003-2500
Phone Number
530-241-0713
Fax Number
530-241-1447
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MFGPHA376480 05 CA
PHA376480 05 CA
0598194 01 NCPDP NUMBER
1ZXPHA358300 05 CA
PHA474840 05 CA
QN4PHA474840 05 CA
institution
Provider Business Practice Location Address Details
Address
55 Lake Blvd
City
Redding
State
California
Zip
96003-2500
Phone Number
530-241-0713
Fax Number
530-241-1447
person
Provider Business Mailing Address Details
Address
55 Lake Blvd
City
Redding
State
California
Zip
96003-2500
Phone Number
530-241-0713
Fax Number
530-241-1447
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY47484 (California)
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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