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SHOPKO STORES OPERATING CO. LLC NPI 1659744720


NPI Information

NPI: 1659744720
Provider Name: SHOPKO STORES OPERATING CO., LLC

Doing Business As: SHOPKO PHARMACY #2554

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1203 N MAIN ST
ANDREWS, TX
ZIP 79714
Phone: (432) 523-3302
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SHOPKO STORES OPERATING CO., LLC is a community/retail pharmacy pharmacy in Andrews, TX. 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 1659744720. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Pharmacy #2554.

The provider's business location address is:

1203 N MAIN ST
ANDREWS, TX
ZIP 79714-630
Phone: (432) 523-3302

The provider's authorized official is Lorie Neumann .
The authorized official title is Dir 3d Party Contract & Ca and has the following contact phone number (920) 429-4726.

The enumeration date for this NPI number is 11/11/2015 and was last updated on 11/11/2015.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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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