1104878628 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
- October 28, 2013
- Authorized Official
- MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 60 NE BEND RIVER MALL DR
BEND, OR 977017528 - Phone
- (541) 385-6076
- Fax
- (541) 385-9209
Mailing Address
- Address
- 60 NE BEND RIVER MALL DR
BEND, OR 977017528 - Phone
- (541) 385-6076
- Fax
- (541) 385-9209
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 | 1084 | OR | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3809956 | 01 | N/A | NCPDP NUMBER |
| 278350 | 05 | OR | N/A |
| 278377 | 05 | OR | N/A |
| 000682 | 05 | OR | N/A |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1104878628.
Which doctor has NPI number 1104878628?
The doctor with NPI number 1104878628 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 60 NE BEND RIVER MALL DR, BEND, OR, 977017528.
Which doctor practices at 60 NE BEND RIVER MALL DR, BEND, OR, 977017528?
SHOPKO STORES OPERATING CO LLC practices at 60 NE BEND RIVER MALL DR, BEND, OR, 977017528.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (541) 385-6076.
Who is (541) 385-6076?
(541) 385-6076 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 (541) 385-6076 to inquire about availability.
Is NPI 1104878628 still active?
Yes, NPI 1104878628 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in BEND, OR.