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SHOPKO STORES OPERATING CO LLC NPI 1093769861


NPI Information

NPI: 1093769861
Provider Name: SHOPKO STORES OPERATING CO LLC

Doing Business As: SHOPKO PHARMACY 773

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
825 NE MAIN ST
LEWISTOWN, MT
ZIP 59457
Phone: (406) 538-9262
Get Directions

SHOPKO STORES OPERATING CO LLC is a community/retail pharmacy pharmacy in Lewistown, MT. The provider is 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. SHOPKO STORES OPERATING CO LLC NPI is 1093769861. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Pharmacy 773.

The provider's business location address is:

825 NE MAIN ST
LEWISTOWN, MT
ZIP 59457-080
Phone: (406) 538-9262
Fax: (406) 538-9795

The provider's authorized official is Michael Bettiga .
The authorized official title is Executive Vice President & Coo and has the following contact phone number (920) 429-4297.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 11/20/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15695760245MEDICARE NSC
21093769861MEDICAIDMONTANA
32763426OTHERNCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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