1104879808 SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
Active
Basic Information
- Organization Name
- SHOPKO STORES OPERATING CO. LLC
- Enumeration Date
- May 17, 2006
- Last Update
- February 11, 2008
- Authorized Official
- MICHAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297
Practice Location
- Address
- 1771 WISCONSIN AVE
GRAFTON, WI 530242437 - Phone
- (262) 375-0505
Mailing Address
- Address
- 1771 WISCONSIN AVE
GRAFTON, WI 530242437 - Phone
- (262) 375-0505
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410985054-4090 | 01 | N/A | NVA |
| 42561 | 01 | N/A | DAVIS |
| 38441700 | 05 | WI | N/A |
| 014090 | 01 | N/A | VIP |
| CP2230-1 | 01 | N/A | EYEMED |
| 13860 | 01 | N/A | MEDICARE |
Frequently Asked Questions
What is SHOPKO STORES OPERATING CO. LLC's NPI number?
SHOPKO STORES OPERATING CO. LLC's NPI number is 1104879808.
Which doctor has NPI number 1104879808?
The doctor with NPI number 1104879808 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 1771 WISCONSIN AVE, GRAFTON, WI, 530242437.
Which doctor practices at 1771 WISCONSIN AVE, GRAFTON, WI, 530242437?
SHOPKO STORES OPERATING CO. LLC practices at 1771 WISCONSIN AVE, GRAFTON, WI, 530242437.
What is SHOPKO STORES OPERATING CO. LLC's phone number?
SHOPKO STORES OPERATING CO. LLC's phone number is (262) 375-0505.
Who is (262) 375-0505?
(262) 375-0505 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 Eyewear Supplier.
What type of doctor is SHOPKO STORES OPERATING CO. LLC?
SHOPKO STORES OPERATING CO. LLC is a Eyewear Supplier.
Is SHOPKO STORES OPERATING CO. LLC a Eyewear Supplier?
Yes, SHOPKO STORES OPERATING CO. LLC is a Eyewear Supplier.
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 (262) 375-0505 to inquire about availability.
Is NPI 1104879808 still active?
Yes, NPI 1104879808 is currently active.
Where does SHOPKO STORES OPERATING CO. LLC practice?
SHOPKO STORES OPERATING CO. LLC practices in GRAFTON, WI.