1104875731 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 10, 2006
Last Update
December 15, 2015
Authorized Official
MR. RUSSELL STEINHORST
SVP AND CFO
Phone: (920) 429-7489

Practice Location

Address
1150 W WASHINGTON ST
MARQUETTE, MI 498554040
Phone
(906) 228-8380
Fax
(906) 228-3565

Mailing Address

Address
1150 W WASHINGTON ST
MARQUETTE, MI 498554040
Phone
(906) 228-8380
Fax
(906) 228-3565

Specialties & Taxonomies

Specialty Code Classification License State Primary
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 5301008354 MI Primary

Other Identifiers

Identifier Type State Issuer
2306909 01 N/A NCPDP NUMBER
9000E210860 01 MI BLUE CROSS PIN
2306909 05 MI N/A
4913356 01 N/A MI MEDICAID DME
4819069 01 N/A MI MEDICAID DME

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1104875731.
Which doctor has NPI number 1104875731?
The doctor with NPI number 1104875731 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 1150 W WASHINGTON ST, MARQUETTE, MI, 498554040.
Which doctor practices at 1150 W WASHINGTON ST, MARQUETTE, MI, 498554040?
SHOPKO STORES OPERATING CO LLC practices at 1150 W WASHINGTON ST, MARQUETTE, MI, 498554040.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (906) 228-8380.
Who is (906) 228-8380?
(906) 228-8380 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 (906) 228-8380 to inquire about availability.
Is NPI 1104875731 still active?
Yes, NPI 1104875731 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in MARQUETTE, MI.