<Unavail>
LBN: Shopko Stores Operating Co Llc
<Unavail> is an health care organization with primary practice located at 701 S Church St , Watertown WI 53094-6213. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service), Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Shopko Stores Operating Co Llc can be contacted via phone (920) 261-1920, or through Bettiga, Michael J via phone (920) 429-4297.
Contact Information
Primary practice address
701 S Church St
Watertown WI 53094-6213
Phone: (920) 261-1920
Fax: (920) 261-7010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8631042 | Wisconsin |
Profile Details
| NPI number | 1235184953 |
|---|---|
| LBN Legal business name | Shopko Stores Operating Co Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Bettiga, Michael J RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Feb 26th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235184953 | NPPES |
| Wisconsin | MEDICAID | 33128600 | |
| Wisconsin | Other | 5111137 |
Popular Providers
-
Prescription Shop, Inc
601 W 11Th St , Coffeyville KS 67337-5025 -
The Prescription Shoppe
308 N Cushing Ave , Kaplan LA 70548-4122 -
Mcld Corporation
419 E 1St St , Monticello IA 52310-1506 -
Mayo Clinic Jacksonville
4500 San Pablo Rd S , Jacksonville FL 32224-1865 -
Walgreen Co
301 W Main St , Watertown WI 53094-7629 -
Watertown Hometown Pharmacy Llc
204 E Main St , Watertown WI 53094-3748 -
Dunne'S Pharmacy Inc
2429 Claflin Rd , Manhattan KS 66502-2740 -
Rosauers Supermarkets Inc
3320 Thain Rd , Lewiston ID 83501-5337