<Unavail>
LBN: Shopko Stores Operating Co Llc
<Unavail> is an health care organization with primary practice located at 13414 E Sprague Ave , Spokane Valley WA 99216-0848. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Shopko Stores Operating Co Llc can be contacted via phone (509) 924-1744, or through Bettiga, Michael J via phone (920) 429-4297.
Contact Information
Primary practice address
13414 E Sprague Ave
Spokane Valley WA 99216-0848
Phone: (509) 924-1744
Fax: (509) 924-9724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | CF00058643 | Washington |
Profile Details
| NPI number | 1144269184 |
|---|---|
| LBN Legal business name | Shopko Stores Operating Co Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Bettiga, Michael J RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Dec 16th, 2008 - about 18 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 | 1144269184 | NPPES |
| Washington | MEDICAID | 0006004063 | |
| Washington | Other | 0012849 | |
| Washington | Other | 0215804 | |
| Washington | Other | 4918263 |
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