Organization · Type 2 NPI

Shopko Stores Operating Co LLC

Community/Retail Pharmacy · Twin Falls, ID

NPI number 1417994161 Active

Practice location

1649 Poleline Rd E
Twin Falls, ID 83301-3592

Fax (208) 736-7476

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000X2043CP (ID)
Community/Retail Pharmacy Primary 3336C0003X2043CP (ID)

Community/Retail Pharmacy: 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 …

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About NPI 1417994161

Shopko Stores Operating Co LLC's National Provider Identifier is 1417994161, issued on Jun 1, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Twin Falls, ID. The record was last updated on Jul 10, 2009.