Shopko Pharmacy 084
LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 084 is an health care organization with primary practice located at 1553 W 9000 S , West Jordan UT 84088-9219. 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) 562-5400, or through Bettiga, Michael J via phone (920) 429-4297.
Contact Information
Primary practice address
1553 W 9000 S
West Jordan UT 84088-9219
Phone: (801) 562-5400
Fax: (801) 255-5669
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 | 1313331703 | Utah |
Profile Details
| NPI number | 1669423737 |
|---|---|
| LBN Legal business name | Shopko Stores Operating Co Llc |
| DBA Doing business as | Shopko Pharmacy 084 |
| Authorized official | Bettiga, Michael J RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Mar 5th, 2014 - about 10 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 | 1669423737 | NPPES |
| Utah | MEDICAID | 410985054022 | |
| Utah | Other | 4606705 |
Popular Providers
-
Utah Partners For Health
9103 S 1300 W Ste 102 , West Jordan UT 84088-6709 -
Wellcare Pharmacy
3078 W 7800 S Ste 9 , West Jordan UT 84088-3705 -
Walgreen Co
3863 W 9000 S , West Jordan UT 84088-8856 -
Smiths Food & Drug Centers Inc
4080 W 9000 S , West Jordan UT 84088-8928 -
Sams West Inc
7571 S 3800 W , West Jordan UT 84084-4319 -
Walgreen Co
7794 S Redwood Rd , West Jordan UT 84084-4010 -
Walgreen Co.
4701 W 6200 South , West Jordan UT 84084 -
Walmart Inc.
7671 S 3800 W , West Jordan UT 84084-4316