1164477881 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 23, 2006
Last Update
December 10, 2015
Authorized Official
MR. RUSSELL STEINHORST
SVP CHIEF FINANCIAL OFFICER
Phone: (920) 429-7489

Practice Location

Address
217 W IRONWOOD DR
COEUR D ALENE, ID 838142651
Phone
(208) 765-9586
Fax
(208) 765-6922

Mailing Address

Address
217 W IRONWOOD DR
COEUR D ALENE, ID 838142651
Phone
(208) 765-9586
Fax
(208) 765-6922

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 2037CP ID No
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 2037CP ID Primary

Other Identifiers

Identifier Type State Issuer
1304613 01 N/A NCPDP NUMBER
000123200 05 ID N/A
000123100 05 ID N/A
0034347 01 N/A WA LABOR & INDUSTRY
0215806 01 N/A WA LABOR & INDUSTRY

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1164477881.
Which doctor has NPI number 1164477881?
The doctor with NPI number 1164477881 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 217 W IRONWOOD DR, COEUR D ALENE, ID, 838142651.
Which doctor practices at 217 W IRONWOOD DR, COEUR D ALENE, ID, 838142651?
SHOPKO STORES OPERATING CO LLC practices at 217 W IRONWOOD DR, COEUR D ALENE, ID, 838142651.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (208) 765-9586.
Who is (208) 765-9586?
(208) 765-9586 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 (208) 765-9586 to inquire about availability.
Is NPI 1164477881 still active?
Yes, NPI 1164477881 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in COEUR D ALENE, ID.