1174576763 SHOPKO STORES OPERATING CO LLC
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO LLC
- Enumeration Date
- May 18, 2006
- Last Update
- January 23, 2013
- Authorized Official
- MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297
Practice Location
- Address
- 2353 SOUTH E
BROKEN BOW, NE 688222031 - Phone
- (308) 872-6818
- Fax
- (308) 872-6889
Mailing Address
- Address
- PO BOX 383
BROKEN BOW, NE 688220383 - Phone
- (308) 872-6818
- Fax
- (308) 872-6889
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 |
|---|---|---|---|
| 10025232800 | 05 | NE | N/A |
| 2817003 | 01 | N/A | NCPDP |
| 10025416500 | 05 | NE | N/A |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1174576763.
Which doctor has NPI number 1174576763?
The doctor with NPI number 1174576763 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 2353 SOUTH E, BROKEN BOW, NE, 688222031.
Which doctor practices at 2353 SOUTH E, BROKEN BOW, NE, 688222031?
SHOPKO STORES OPERATING CO LLC practices at 2353 SOUTH E, BROKEN BOW, NE, 688222031.
What is SHOPKO STORES OPERATING CO LLC's mailing address?
SHOPKO STORES OPERATING CO LLC's mailing address is PO BOX 383, BROKEN BOW, NE, 688220383.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (308) 872-6818.
Who is (308) 872-6818?
(308) 872-6818 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 (308) 872-6818 to inquire about availability.
Is NPI 1174576763 still active?
Yes, NPI 1174576763 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in BROKEN BOW, NE.