1811941586 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
- September 4, 2012
- Authorized Official
- MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297
Practice Location
- Address
- N2585 PLAZA RD
WAUTOMA, WI 549827706 - Phone
- (920) 787-2090
- Fax
- (920) 787-4605
Mailing Address
- Address
- N2585 PLAZA RD
WAUTOMA, WI 549827706 - Phone
- (920) 787-2090
- Fax
- (920) 787-4605
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 | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0459230035 | 01 | N/A | MEDICARE ID - TYPE UNSPECIFIED |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1811941586.
Which doctor has NPI number 1811941586?
The doctor with NPI number 1811941586 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 N2585 PLAZA RD, WAUTOMA, WI, 549827706.
Which doctor practices at N2585 PLAZA RD, WAUTOMA, WI, 549827706?
SHOPKO STORES OPERATING CO LLC practices at N2585 PLAZA RD, WAUTOMA, WI, 549827706.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (920) 787-2090.
Who is (920) 787-2090?
(920) 787-2090 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 (920) 787-2090 to inquire about availability.
Is NPI 1811941586 still active?
Yes, NPI 1811941586 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in WAUTOMA, WI.