1902859317 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 18, 2006
Last Update
January 28, 2013
Authorized Official
MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT AND COO
Phone: (920) 429-4297

Practice Location

Address
1305 141ST ST
PERRY, IA 502208128
Phone
(515) 465-5484
Fax
(515) 465-5484

Mailing Address

Address
1305 141ST ST
PERRY, IA 502208128
Phone
(515) 465-5484
Fax
(515) 465-5484

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
0495820 05 IA N/A
1619482 01 N/A NCPDP
0178251 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 1902859317.
Which doctor has NPI number 1902859317?
The doctor with NPI number 1902859317 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 1305 141ST ST, PERRY, IA, 502208128.
Which doctor practices at 1305 141ST ST, PERRY, IA, 502208128?
SHOPKO STORES OPERATING CO LLC practices at 1305 141ST ST, PERRY, IA, 502208128.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (515) 465-5484.
Who is (515) 465-5484?
(515) 465-5484 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 (515) 465-5484 to inquire about availability.
Is NPI 1902859317 still active?
Yes, NPI 1902859317 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in PERRY, IA.