1033392436 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
December 10, 2007
Last Update
October 28, 2013
Authorized Official
MR. MICHAEL BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
2320 LINEVILLE RD
GREEN BAY, WI 543138836
Phone
(920) 434-5846

Mailing Address

Address
2320 LINEVILLE RD
GREEN BAY, WI 543138836
Phone
(920) 434-5846

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 8798042 WI Primary

Other Identifiers

Identifier Type State Issuer
36224100 05 WI N/A
5130430 01 N/A NCPDP

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1033392436.
Which doctor has NPI number 1033392436?
The doctor with NPI number 1033392436 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 2320 LINEVILLE RD, GREEN BAY, WI, 543138836.
Which doctor practices at 2320 LINEVILLE RD, GREEN BAY, WI, 543138836?
SHOPKO STORES OPERATING CO LLC practices at 2320 LINEVILLE RD, GREEN BAY, WI, 543138836.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (920) 434-5846.
Who is (920) 434-5846?
(920) 434-5846 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) 434-5846 to inquire about availability.
Is NPI 1033392436 still active?
Yes, NPI 1033392436 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in GREEN BAY, WI.