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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Jacksonville, Illinois
NPI 1912933961

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Jacksonville, IL and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Jacksonville, IL. The NPI Number for Shopko Stores Operating Co Llc is 1912933961 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co Llc is 1964 W Morton Ave, Jacksonville, IL and can be reached out via phone at 217-245-6259 and via fax at 217-243-9251.

Location: 1964 W Morton Ave, Jacksonville, IL, 62650-2621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912933961
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
1964 W Morton Ave, Jacksonville, IL, 62650-2621
Phone Number
217-245-6259
Fax Number
217-243-9251
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1468722 01 NCPDP NUMBER
371110040140 05 IL
institution
Provider Business Practice Location Address Details
Address
1964 W Morton Ave
City
Jacksonville
State
Illinois
Zip
62650-2621
Phone Number
217-245-6259
Fax Number
217-243-9251
person
Provider Business Mailing Address Details
Address
1964 W Morton Ave
City
Jacksonville
State
Illinois
Zip
62650-2621
Phone Number
217-245-6259
Fax Number
217-243-9251
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
054015893 (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
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
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
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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