1982657912 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
October 17, 2012
Authorized Official
MR. MICHAEL BETTIGA RPH
EXECUTIVE VICE PRESIDENT AND COO
Phone: (920) 429-4297

Practice Location

Address
902 S LOCUST ST
GLENWOOD, IA 515341834
Phone
(712) 527-9200
Fax
(712) 527-5836

Mailing Address

Address
902 S LOCUST ST
GLENWOOD, IA 515341834
Phone
(712) 527-9200
Fax
(712) 527-5836

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
1620853 01 N/A NCPDP
0495929 05 IA N/A
10025460600 05 NE N/A
0223735 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 1982657912.
Which doctor has NPI number 1982657912?
The doctor with NPI number 1982657912 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 902 S LOCUST ST, GLENWOOD, IA, 515341834.
Which doctor practices at 902 S LOCUST ST, GLENWOOD, IA, 515341834?
SHOPKO STORES OPERATING CO LLC practices at 902 S LOCUST ST, GLENWOOD, IA, 515341834.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (712) 527-9200.
Who is (712) 527-9200?
(712) 527-9200 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 (712) 527-9200 to inquire about availability.
Is NPI 1982657912 still active?
Yes, NPI 1982657912 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in GLENWOOD, IA.