1396796892 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 12, 2006
Last Update
December 14, 2015
Authorized Official
MR. RUSSELL STEINHORST
SVP AND CFO
Phone: (920) 429-7489

Practice Location

Address
2530 1ST AVE N
ESCANABA, MI 498291390
Phone
(906) 786-2011
Fax
(906) 786-2816

Mailing Address

Address
2530 1ST AVE N
ESCANABA, MI 498291390
Phone
(906) 786-2011
Fax
(906) 786-2816

Specialties & Taxonomies

Specialty Code Classification License State Primary
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 5301008360 MI Primary

Other Identifiers

Identifier Type State Issuer
4819040 01 N/A MI MEDICAID DME
4913383 01 N/A MI MEDICAID DME
2341763 05 MI N/A
9000B11041 01 MI BLUE CROSS PIN
2341763 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 1396796892.
Which doctor has NPI number 1396796892?
The doctor with NPI number 1396796892 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 2530 1ST AVE N, ESCANABA, MI, 498291390.
Which doctor practices at 2530 1ST AVE N, ESCANABA, MI, 498291390?
SHOPKO STORES OPERATING CO LLC practices at 2530 1ST AVE N, ESCANABA, MI, 498291390.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (906) 786-2011.
Who is (906) 786-2011?
(906) 786-2011 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 (906) 786-2011 to inquire about availability.
Is NPI 1396796892 still active?
Yes, NPI 1396796892 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in ESCANABA, MI.