1932150372 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 12, 2006
Last Update
August 3, 2016
Authorized Official
MR. RUSSELL STEINHORST
SVP AND CFO
Phone: (920) 429-7489

Practice Location

Address
900 MEMORIAL RD
HOUGHTON, MI 499312481
Phone
(906) 487-9797
Fax
(906) 487-9380

Mailing Address

Address
900 MEMORIAL RD
HOUGHTON, MI 499312481
Phone
(906) 487-9797
Fax
(906) 487-9380

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 5301008362 MI Primary

Other Identifiers

Identifier Type State Issuer
4819013 01 N/A MI MEDICAID DME
2352451 05 MI N/A
2352451 01 N/A NCPDP NUMBER
9000C110300 01 MI BLUE CROSS PIN
4913392 01 N/A MI MEDICAID DME

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1932150372.
Which doctor has NPI number 1932150372?
The doctor with NPI number 1932150372 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 900 MEMORIAL RD, HOUGHTON, MI, 499312481.
Which doctor practices at 900 MEMORIAL RD, HOUGHTON, MI, 499312481?
SHOPKO STORES OPERATING CO LLC practices at 900 MEMORIAL RD, HOUGHTON, MI, 499312481.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (906) 487-9797.
Who is (906) 487-9797?
(906) 487-9797 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 (906) 487-9797 to inquire about availability.
Is NPI 1932150372 still active?
Yes, NPI 1932150372 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in HOUGHTON, MI.