1114979531 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
February 8, 2013
Authorized Official
MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297

Practice Location

Address
657 W MAIN ST
HODGENVILLE, KY 427481569
Phone
(270) 358-4391
Fax
(270) 358-4682

Mailing Address

Address
657 W MAIN ST
HODGENVILLE, KY 427481569
Phone
(270) 358-4391
Fax
(270) 358-4682

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
5401320600 05 KY N/A
1825706 01 N/A NCPDP NUMBER
5403488900 05 KY N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1114979531.
Which doctor has NPI number 1114979531?
The doctor with NPI number 1114979531 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 657 W MAIN ST, HODGENVILLE, KY, 427481569.
Which doctor practices at 657 W MAIN ST, HODGENVILLE, KY, 427481569?
SHOPKO STORES OPERATING CO LLC practices at 657 W MAIN ST, HODGENVILLE, KY, 427481569.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (270) 358-4391.
Who is (270) 358-4391?
(270) 358-4391 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 (270) 358-4391 to inquire about availability.
Is NPI 1114979531 still active?
Yes, NPI 1114979531 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in HODGENVILLE, KY.