Organization · Type 2 NPI

Shopko Stores Operating Co LLC

Community/Retail Pharmacy · Springfield, IL

NPI number 1790711737 Active

Practice location

3030 Wabash Ave
Springfield, IL 62704-6413

Call (217) 698-9614 Map

Fax (217) 546-1761

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Community/Retail Pharmacy Primary 3336C0003X054015896 (IL)

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 1790711737

Shopko Stores Operating Co LLC's National Provider Identifier is 1790711737, issued on Jun 23, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Springfield, IL. The record was last updated on Aug 14, 2008.