1063465854 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 19, 2006
Last Update
August 28, 2012
Authorized Official
MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297

Practice Location

Address
150 S 1ST ST
BLAIR, NE 680082540
Phone
(402) 426-9189
Fax
(402) 426-9190

Mailing Address

Address
PO BOX 1450
MINNEAPOLIS, MN 554855891
Phone
(402) 426-9189
Fax
(402) 426-9190

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
47062642603 05 NE N/A
2814689 01 N/A NCPDP
0721886 05 IA N/A
0973404 05 IA N/A
0459230047 01 N/A MEDICARE ID - TYPE UNSPECIFIED
10025417400 05 NE N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1063465854.
Which doctor has NPI number 1063465854?
The doctor with NPI number 1063465854 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 150 S 1ST ST, BLAIR, NE, 680082540.
Which doctor practices at 150 S 1ST ST, BLAIR, NE, 680082540?
SHOPKO STORES OPERATING CO LLC practices at 150 S 1ST ST, BLAIR, NE, 680082540.
What is SHOPKO STORES OPERATING CO LLC's mailing address?
SHOPKO STORES OPERATING CO LLC's mailing address is PO BOX 1450, MINNEAPOLIS, MN, 554855891.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (402) 426-9189.
Who is (402) 426-9189?
(402) 426-9189 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 (402) 426-9189 to inquire about availability.
Is NPI 1063465854 still active?
Yes, NPI 1063465854 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in BLAIR, NE.