1316990716 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
October 25, 2012
Authorized Official
MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297

Practice Location

Address
819 11TH AVE SW
WAUKON, IA 521727593
Phone
(563) 568-3668
Fax
(563) 568-3693

Mailing Address

Address
819 11TH AVE SW
WAUKON, IA 521727593
Phone
(563) 568-3668
Fax
(563) 568-3693

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
0495804 05 IA N/A
0174805 05 IA N/A
1619343 01 N/A NCPDP

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1316990716.
Which doctor has NPI number 1316990716?
The doctor with NPI number 1316990716 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 819 11TH AVE SW, WAUKON, IA, 521727593.
Which doctor practices at 819 11TH AVE SW, WAUKON, IA, 521727593?
SHOPKO STORES OPERATING CO LLC practices at 819 11TH AVE SW, WAUKON, IA, 521727593.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (563) 568-3668.
Who is (563) 568-3668?
(563) 568-3668 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 (563) 568-3668 to inquire about availability.
Is NPI 1316990716 still active?
Yes, NPI 1316990716 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in WAUKON, IA.