1023063757 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 23, 2006
Last Update
September 24, 2012
Authorized Official
MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297

Practice Location

Address
300 JAKE ST
PERHAM, MN 56573
Phone
(218) 346-7751
Fax
(218) 346-7752

Mailing Address

Address
PO BOX 10
PERHAM, MN 565730010
Phone
(218) 346-7751
Fax
(218) 346-7752

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
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
2421511 01 N/A NCPDP
300559300 05 MN N/A
208187000 05 MN N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1023063757.
Which doctor has NPI number 1023063757?
The doctor with NPI number 1023063757 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 300 JAKE ST, PERHAM, MN, 56573.
Which doctor practices at 300 JAKE ST, PERHAM, MN, 56573?
SHOPKO STORES OPERATING CO LLC practices at 300 JAKE ST, PERHAM, MN, 56573.
What is SHOPKO STORES OPERATING CO LLC's mailing address?
SHOPKO STORES OPERATING CO LLC's mailing address is PO BOX 10, PERHAM, MN, 565730010.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (218) 346-7751.
Who is (218) 346-7751?
(218) 346-7751 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 (218) 346-7751 to inquire about availability.
Is NPI 1023063757 still active?
Yes, NPI 1023063757 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in PERHAM, MN.