1295780815 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
July 25, 2014
Authorized Official
MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
2100 CALDWELL BLVD
NAMPA, ID 836511510
Phone
(208) 466-9616
Fax
(208) 463-1724

Mailing Address

Address
2100 CALDWELL BLVD
NAMPA, ID 836511510
Phone
(208) 466-9616
Fax
(208) 463-1724

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 2042CP ID No
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 2042CP ID Primary

Other Identifiers

Identifier Type State Issuer
000311800 05 ID N/A
0215801 01 N/A WA LABOR & INDUSTRY
0193994 01 N/A WA LABOR & INDUSTRY
1304524 01 N/A NCPDP NUMBER

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1295780815.
Which doctor has NPI number 1295780815?
The doctor with NPI number 1295780815 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 2100 CALDWELL BLVD, NAMPA, ID, 836511510.
Which doctor practices at 2100 CALDWELL BLVD, NAMPA, ID, 836511510?
SHOPKO STORES OPERATING CO LLC practices at 2100 CALDWELL BLVD, NAMPA, ID, 836511510.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (208) 466-9616.
Who is (208) 466-9616?
(208) 466-9616 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) 466-9616 to inquire about availability.
Is NPI 1295780815 still active?
Yes, NPI 1295780815 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in NAMPA, ID.