1821042003 SHOPKO STORES OPERATING CO LLC
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO LLC
- Enumeration Date
- May 20, 2006
- Last Update
- September 24, 2012
- Authorized Official
- MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297
Practice Location
- Address
- 291 S MAIN ST
CLINTONVILLE, WI 549291604 - Phone
- (715) 823-2350
- Fax
- (715) 823-2541
Mailing Address
- Address
- 291 S MAIN ST
CLINTONVILLE, WI 549291604 - Phone
- (715) 823-2350
- Fax
- (715) 823-2541
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 |
---|---|---|---|
33268600 | 05 | WI | N/A |
5127267 | 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 1821042003.
Which doctor has NPI number 1821042003?
The doctor with NPI number 1821042003 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 291 S MAIN ST, CLINTONVILLE, WI, 549291604.
Which doctor practices at 291 S MAIN ST, CLINTONVILLE, WI, 549291604?
SHOPKO STORES OPERATING CO LLC practices at 291 S MAIN ST, CLINTONVILLE, WI, 549291604.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (715) 823-2350.
Who is (715) 823-2350?
(715) 823-2350 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 (715) 823-2350 to inquire about availability.
Is NPI 1821042003 still active?
Yes, NPI 1821042003 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in CLINTONVILLE, WI.