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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Lacey, Washington
NPI 1962442392

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Lacey, WA and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Lacey, WA. The NPI Number for Shopko Stores Operating Co Llc is 1962442392 and holds a License No. (Washington).

The current practice location address for Shopko Stores Operating Co Llc is 5500 Martin Way E, Lacey, WA and can be reached out via phone at 360-456-4057 and via fax at 360-456-0903.

Location: 5500 Martin Way E, Lacey, WA, 98516-6326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962442392
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
5500 Martin Way E, Lacey, WA, 98516-6326
Phone Number
360-456-4057
Fax Number
360-456-0903
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0006013270 05 WA
0215810 01 WA LABOR & INDUSTRY
0047611 01 WA LABOR & INDUSTRY
4923175 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
5500 Martin Way E
City
Lacey
State
Washington
Zip
98516-6326
Phone Number
360-456-4057
Fax Number
360-456-0903
person
Provider Business Mailing Address Details
Address
5500 Martin Way E
City
Lacey
State
Washington
Zip
98516-6326
Phone Number
360-456-4057
Fax Number
360-456-0903
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
CF00058640 (Washington)
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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