1508819384 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 19, 2006
Last Update
March 1, 2013
Authorized Official
MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297

Practice Location

Address
671 WOLFORD AVE
LIBERTY, KY 42539
Phone
(606) 787-4236
Fax
(606) 787-4237

Mailing Address

Address
671 WOLFORD AVE
LIBERTY, KY 42539
Phone
(606) 787-4236
Fax
(606) 787-4237

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
90006115 05 KY N/A
5401257000 05 KY N/A
1827584 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 1508819384.
Which doctor has NPI number 1508819384?
The doctor with NPI number 1508819384 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 671 WOLFORD AVE, LIBERTY, KY, 42539.
Which doctor practices at 671 WOLFORD AVE, LIBERTY, KY, 42539?
SHOPKO STORES OPERATING CO LLC practices at 671 WOLFORD AVE, LIBERTY, KY, 42539.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (606) 787-4236.
Who is (606) 787-4236?
(606) 787-4236 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 (606) 787-4236 to inquire about availability.
Is NPI 1508819384 still active?
Yes, NPI 1508819384 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in LIBERTY, KY.