1053367409 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
June 6, 2014
Authorized Official
MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
2677 S PRAIRIE VIEW RD
CHIPPEWA FALLS, WI 547297506
Phone
(715) 726-1631
Fax
(715) 726-1587

Mailing Address

Address
2677 S PRAIRIE VIEW RD
CHIPPEWA FALLS, WI 547297506
Phone
(715) 726-1631
Fax
(715) 726-1587

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 8630042 WI Primary

Other Identifiers

Identifier Type State Issuer
33034600 05 WI N/A
5116199 01 N/A NCPDP NUMBER

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1053367409.
Which doctor has NPI number 1053367409?
The doctor with NPI number 1053367409 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 2677 S PRAIRIE VIEW RD, CHIPPEWA FALLS, WI, 547297506.
Which doctor practices at 2677 S PRAIRIE VIEW RD, CHIPPEWA FALLS, WI, 547297506?
SHOPKO STORES OPERATING CO LLC practices at 2677 S PRAIRIE VIEW RD, CHIPPEWA FALLS, WI, 547297506.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (715) 726-1631.
Who is (715) 726-1631?
(715) 726-1631 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 (715) 726-1631 to inquire about availability.
Is NPI 1053367409 still active?
Yes, NPI 1053367409 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in CHIPPEWA FALLS, WI.