1477505519 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
December 27, 2012
Authorized Official
MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297

Practice Location

Address
201 N FILLMORE ST
MOUNT AYR, IA 508541627
Phone
(641) 464-4527
Fax
(641) 464-4600

Mailing Address

Address
201 N FILLMORE ST
MOUNT AYR, IA 508541627
Phone
(641) 464-4527
Fax
(641) 464-4600

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
1620966 01 N/A NCPDP
0237503 05 IA N/A
0495903 05 IA N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1477505519.
Which doctor has NPI number 1477505519?
The doctor with NPI number 1477505519 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 201 N FILLMORE ST, MOUNT AYR, IA, 508541627.
Which doctor practices at 201 N FILLMORE ST, MOUNT AYR, IA, 508541627?
SHOPKO STORES OPERATING CO LLC practices at 201 N FILLMORE ST, MOUNT AYR, IA, 508541627.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (641) 464-4527.
Who is (641) 464-4527?
(641) 464-4527 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 (641) 464-4527 to inquire about availability.
Is NPI 1477505519 still active?
Yes, NPI 1477505519 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in MOUNT AYR, IA.