1740236199 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 26, 2006
Last Update
June 6, 2014
Authorized Official
MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
1771 WISCONSIN AVE
GRAFTON, WI 530242437
Phone
(262) 375-0016
Fax
(262) 375-3519

Mailing Address

Address
1771 WISCONSIN AVE
GRAFTON, WI 530242437
Phone
(262) 375-0016
Fax
(262) 375-3519

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
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 8605042 WI Primary

Other Identifiers

Identifier Type State Issuer
33162200 05 WI N/A
5119450 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 1740236199.
Which doctor has NPI number 1740236199?
The doctor with NPI number 1740236199 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 1771 WISCONSIN AVE, GRAFTON, WI, 530242437.
Which doctor practices at 1771 WISCONSIN AVE, GRAFTON, WI, 530242437?
SHOPKO STORES OPERATING CO LLC practices at 1771 WISCONSIN AVE, GRAFTON, WI, 530242437.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (262) 375-0016.
Who is (262) 375-0016?
(262) 375-0016 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) 375-0016 to inquire about availability.
Is NPI 1740236199 still active?
Yes, NPI 1740236199 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in GRAFTON, WI.