1073565446 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 16, 2006
Last Update
December 14, 2012
Authorized Official
MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT AND COO
Phone: (920) 429-4297

Practice Location

Address
2099 CHATBURN AVE
HARLAN, IA 515371845
Phone
(712) 755-1112
Fax
(712) 755-1369

Mailing Address

Address
2099 CHATBURN AVE
HARLAN, IA 515371845
Phone
(712) 755-1112
Fax
(712) 755-1369

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
0495614 05 IA N/A
0286914 05 IA N/A
1621552 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 1073565446.
Which doctor has NPI number 1073565446?
The doctor with NPI number 1073565446 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 2099 CHATBURN AVE, HARLAN, IA, 515371845.
Which doctor practices at 2099 CHATBURN AVE, HARLAN, IA, 515371845?
SHOPKO STORES OPERATING CO LLC practices at 2099 CHATBURN AVE, HARLAN, IA, 515371845.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (712) 755-1112.
Who is (712) 755-1112?
(712) 755-1112 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 (712) 755-1112 to inquire about availability.
Is NPI 1073565446 still active?
Yes, NPI 1073565446 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in HARLAN, IA.