1760418701 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
June 23, 2006
Last Update
April 1, 2014
Authorized Official
MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
555 W SOUTH ST
FREEPORT, IL 610326792
Phone
(815) 232-2724
Fax
(815) 232-2218

Mailing Address

Address
555 W SOUTH ST
FREEPORT, IL 610326792
Phone
(815) 232-2724
Fax
(815) 232-2218

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 054015898 IL Primary

Other Identifiers

Identifier Type State Issuer
1465550 01 N/A NCPDP NUMBER
410985054125 05 IL N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1760418701.
Which doctor has NPI number 1760418701?
The doctor with NPI number 1760418701 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 555 W SOUTH ST, FREEPORT, IL, 610326792.
Which doctor practices at 555 W SOUTH ST, FREEPORT, IL, 610326792?
SHOPKO STORES OPERATING CO LLC practices at 555 W SOUTH ST, FREEPORT, IL, 610326792.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (815) 232-2724.
Who is (815) 232-2724?
(815) 232-2724 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 (815) 232-2724 to inquire about availability.
Is NPI 1760418701 still active?
Yes, NPI 1760418701 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in FREEPORT, IL.