1003862442 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 26, 2006
Last Update
February 14, 2014
Authorized Official
MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
2430 E MASON ST
GREEN BAY, WI 543023759
Phone
(920) 468-6044
Fax
(920) 468-3490

Mailing Address

Address
2430 E MASON ST
GREEN BAY, WI 543023759
Phone
(920) 468-6044
Fax
(920) 468-3490

Specialties & Taxonomies

Specialty Code Classification License State Primary
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Pharmacy
333600000X Pharmacy N/A N/A No
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 8636042 WI Primary

Other Identifiers

Identifier Type State Issuer
5103926 01 N/A NCPDP NUMBER
33119300 05 WI N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1003862442.
Which doctor has NPI number 1003862442?
The doctor with NPI number 1003862442 is SHOPKO STORES OPERATING CO LLC.
What is SHOPKO STORES OPERATING CO LLC's practice address?
SHOPKO STORES OPERATING CO LLC's practice address is 2430 E MASON ST, GREEN BAY, WI, 543023759.
Which doctor practices at 2430 E MASON ST, GREEN BAY, WI, 543023759?
SHOPKO STORES OPERATING CO LLC practices at 2430 E MASON ST, GREEN BAY, WI, 543023759.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (920) 468-6044.
Who is (920) 468-6044?
(920) 468-6044 is the phone number for SHOPKO STORES OPERATING CO LLC.
What is SHOPKO STORES OPERATING CO LLC's specialty?
SHOPKO STORES OPERATING CO LLC's specialty is Community/Retail Pharmacy.
What type of doctor is SHOPKO STORES OPERATING CO LLC?
SHOPKO STORES OPERATING CO LLC is a Community/Retail Pharmacy.
Is SHOPKO STORES OPERATING CO LLC a Community/Retail Pharmacy?
Yes, SHOPKO STORES OPERATING CO LLC is a Community/Retail Pharmacy.
Is SHOPKO STORES OPERATING CO LLC still practicing?
Yes, SHOPKO STORES OPERATING CO LLC is currently practicing.
Is SHOPKO STORES OPERATING CO LLC accepting new patients?
SHOPKO STORES OPERATING CO LLC may be accepting new patients. Please call their office at (920) 468-6044 to inquire about availability.
Is NPI 1003862442 still active?
Yes, NPI 1003862442 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in GREEN BAY, WI.