1912933961 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
- May 22, 2014
- Authorized Official
- MR. MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 1964 W MORTON AVE
JACKSONVILLE, IL 626502621 - Phone
- (217) 245-6259
- Fax
- (217) 243-9251
Mailing Address
- Address
- 1964 W MORTON AVE
JACKSONVILLE, IL 626502621 - Phone
- (217) 245-6259
- Fax
- (217) 243-9251
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 | 054015893 | IL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1468722 | 01 | N/A | NCPDP NUMBER |
| 371110040140 | 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 1912933961.
Which doctor has NPI number 1912933961?
The doctor with NPI number 1912933961 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 1964 W MORTON AVE, JACKSONVILLE, IL, 626502621.
Which doctor practices at 1964 W MORTON AVE, JACKSONVILLE, IL, 626502621?
SHOPKO STORES OPERATING CO LLC practices at 1964 W MORTON AVE, JACKSONVILLE, IL, 626502621.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (217) 245-6259.
Who is (217) 245-6259?
(217) 245-6259 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 (217) 245-6259 to inquire about availability.
Is NPI 1912933961 still active?
Yes, NPI 1912933961 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in JACKSONVILLE, IL.