1609829464 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
May 22, 2014
Authorized Official
MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
4161 2ND ST S
SAINT CLOUD, MN 563013761
Phone
(320) 253-3280
Fax
(320) 253-5790

Mailing Address

Address
4161 2ND ST S
SAINT CLOUD, MN 563013761
Phone
(320) 253-3280
Fax
(320) 253-5790

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 2627960 MN Primary

Other Identifiers

Identifier Type State Issuer
606234200 05 MN N/A
625857300 05 MN N/A
0154160058 05 MN N/A
2414249 01 N/A NCPDP NUMBER
578612000 05 MN N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1609829464.
Which doctor has NPI number 1609829464?
The doctor with NPI number 1609829464 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 4161 2ND ST S, SAINT CLOUD, MN, 563013761.
Which doctor practices at 4161 2ND ST S, SAINT CLOUD, MN, 563013761?
SHOPKO STORES OPERATING CO LLC practices at 4161 2ND ST S, SAINT CLOUD, MN, 563013761.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (320) 253-3280.
Who is (320) 253-3280?
(320) 253-3280 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 (320) 253-3280 to inquire about availability.
Is NPI 1609829464 still active?
Yes, NPI 1609829464 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in SAINT CLOUD, MN.