1699726588 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 15, 2006
Last Update
July 25, 2014
Authorized Official
MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
4810 AVENUE O
FORT MADISON, IA 526279677
Phone
(319) 372-8629
Fax
(319) 372-8698

Mailing Address

Address
4810 AVENUE O
FORT MADISON, IA 526279677
Phone
(319) 372-8629
Fax
(319) 372-8698

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 1040 IA Primary

Other Identifiers

Identifier Type State Issuer
1619266 01 N/A NCPDP NUMBER
371110040142 05 IL N/A
0154160255 05 MO N/A
0438168 05 IA N/A
0495093 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 1699726588.
Which doctor has NPI number 1699726588?
The doctor with NPI number 1699726588 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 4810 AVENUE O, FORT MADISON, IA, 526279677.
Which doctor practices at 4810 AVENUE O, FORT MADISON, IA, 526279677?
SHOPKO STORES OPERATING CO LLC practices at 4810 AVENUE O, FORT MADISON, IA, 526279677.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (319) 372-8629.
Who is (319) 372-8629?
(319) 372-8629 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 (319) 372-8629 to inquire about availability.
Is NPI 1699726588 still active?
Yes, NPI 1699726588 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in FORT MADISON, IA.