1619922028 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 24, 2006
Last Update
August 15, 2008
Authorized Official
MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
1011 N WISCONSIN ST
PORT WASHINGTON, WI 530741207
Phone
(262) 284-3436
Fax
(262) 284-3422

Mailing Address

Address
1011 N WISCONSIN ST
PORT WASHINGTON, WI 530741207
Phone
(262) 284-3436
Fax
(262) 284-3422

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 8611042 WI Primary

Other Identifiers

Identifier Type State Issuer
33277300 05 WI N/A
5128017 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 1619922028.
Which doctor has NPI number 1619922028?
The doctor with NPI number 1619922028 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 1011 N WISCONSIN ST, PORT WASHINGTON, WI, 530741207.
Which doctor practices at 1011 N WISCONSIN ST, PORT WASHINGTON, WI, 530741207?
SHOPKO STORES OPERATING CO LLC practices at 1011 N WISCONSIN ST, PORT WASHINGTON, WI, 530741207.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (262) 284-3436.
Who is (262) 284-3436?
(262) 284-3436 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 (262) 284-3436 to inquire about availability.
Is NPI 1619922028 still active?
Yes, NPI 1619922028 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in PORT WASHINGTON, WI.