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Shopko Stores Operating Co. Llc
Community/Retail Pharmacy in East Peoria, Illinois
NPI 1972539740

Shopko Stores Operating Co. Llc is a Community/Retail Pharmacy based in East Peoria, IL and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co. Llc practices in East Peoria, IL. The NPI Number for Shopko Stores Operating Co. Llc is 1972539740 and holds a License No. (Illinois).

The current practice location address for Shopko Stores Operating Co. Llc is 105 N Main St, East Peoria, IL and can be reached out via phone at 309-699-0632 and via fax at 309-694-6426.

Location: 105 N Main St, East Peoria, IL, 61611-2543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972539740
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
105 N Main St, East Peoria, IL, 61611-2543
Phone Number
309-699-0632
Fax Number
309-694-6426
Provider Enumeration Date
06/24/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1472048 01 NCPDP NUMBER
410985054173 05 IL
institution
Provider Business Practice Location Address Details
Address
105 N Main St
City
East Peoria
State
Illinois
Zip
61611-2543
Phone Number
309-699-0632
Fax Number
309-694-6426
person
Provider Business Mailing Address Details
Address
105 N Main St
City
East Peoria
State
Illinois
Zip
61611-2543
Phone Number
309-699-0632
Fax Number
309-694-6426
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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