<Unavail>

LBN: Shopko Institutional Care Services Co Llc
<Unavail> is an health care organization with primary practice located at 3184 London Rd , Eau Claire WI 54701-6834. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Shopko Institutional Care Services Co Llc can be contacted via phone (715) 832-3780, or through Bettiga, Michael via phone (920) 429-4297.

Contact Information

Primary practice address
3184 London Rd Eau Claire WI 54701-6834
Phone: (715) 832-3780
Fax: (715) 832-3766
Website:
Map and Directions
Authorized official contact:
Name: Bettiga, Michael RPH
Phone: (920) 429-4297

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1811235781
LBN Legal business name Shopko Institutional Care Services Co Llc
DBA Doing business as <Unavail>
Authorized official Bettiga, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2013
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811235781 NPPES
Wisconsin MEDICAID 1811235781
Wisconsin Other 9191-42
Wisconsin Other 5133513

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