Shopko Pharmacy 097
LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 097 is an health care organization with primary practice located at 4850 W 3500 S , West Valley City UT 84120-2927. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service), Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Shopko Stores Operating Co Llc can be contacted via phone (801) 966-6500, or through Bettiga, Michael J via phone (920) 429-4297.
Contact Information
Primary practice address
4850 W 3500 S
West Valley City UT 84120-2927
Phone: (801) 966-6500
Fax: (801) 966-8805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1320601703 | Utah |
Profile Details
| NPI number | 1194776179 |
|---|---|
| LBN Legal business name | Shopko Stores Operating Co Llc |
| DBA Doing business as | Shopko Pharmacy 097 |
| Authorized official | Bettiga, Michael J RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Aug 27th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194776179 | NPPES |
| Utah | MEDICAID | 410985054151 | |
| Utah | Other | 4606945 |
Popular Providers
-
Olive Pharmacy
2290 S Redwood Rd , West Valley City UT 84119-1322 -
Maceys Inc
3555 W 3500 S , West Valley City UT 84119-2539 -
Granger Pharmacy
2965 W 3500 S , West Valley City UT 84119-3602 -
Utah Cvs Pharmacy Llc
5518 W High Market Dr , West Valley City UT 84120-1306 -
Horng, Inc.
4052 Pioneer Pkwy Ste 111 , West Valley City UT 84120-2063 -
University Of Utah
3730 W 4700 S , West Valley City UT 84118-3457 -
Smiths Food & Drug Centers Inc
4643 S 4000 W , West Valley City UT 84120-6233 -
Walmart Inc.
4570 S 4000 W , West Valley City UT 84120-6232