1396797403 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 17, 2006
Last Update
October 22, 2012
Authorized Official
MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297

Practice Location

Address
2015 S DEFIANCE ST
ARCHBOLD, OH 435029111
Phone
(419) 445-0052
Fax
(419) 445-0053

Mailing Address

Address
2015 S DEFIANCE ST
ARCHBOLD, OH 435029111
Phone
(419) 445-0052
Fax
(419) 445-0053

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
3668069 01 N/A NCPDP NUMBER
2183551 05 OH N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1396797403.
Which doctor has NPI number 1396797403?
The doctor with NPI number 1396797403 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 2015 S DEFIANCE ST, ARCHBOLD, OH, 435029111.
Which doctor practices at 2015 S DEFIANCE ST, ARCHBOLD, OH, 435029111?
SHOPKO STORES OPERATING CO LLC practices at 2015 S DEFIANCE ST, ARCHBOLD, OH, 435029111.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (419) 445-0052.
Who is (419) 445-0052?
(419) 445-0052 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 (419) 445-0052 to inquire about availability.
Is NPI 1396797403 still active?
Yes, NPI 1396797403 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in ARCHBOLD, OH.