Shopko Express Pharmacy 501
LBN: Shopko Stores Operating Co Llc
Shopko Express Pharmacy 501 is an health care organization with primary practice located at 3705 Monroe Rd , De Pere WI 54115-4020. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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) 336-6096, or through Bettiga, Michael J via phone (920) 429-4297.
Contact Information
Primary practice address
3705 Monroe Rd
De Pere WI 54115-4020
Phone: (920) 336-6096
Fax: (920) 338-8961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8624042 | Wisconsin |
Profile Details
| NPI number | 1730135195 |
|---|---|
| LBN Legal business name | Shopko Stores Operating Co Llc |
| DBA Doing business as | Shopko Express Pharmacy 501 |
| Authorized official | Bettiga, Michael J RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Aug 15th, 2008 - about 18 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 | 1730135195 | NPPES |
| Other | 5128170 | NCPDP NUMBER | |
| MEDICAID | 33278900 | NCPDP NUMBER |
Popular Providers
-
Walgreen Co
807 S Main St , De Forest WI 53532-1480 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528 -
Bioscrip Pharmacy, Inc.
1874 Piedmont Ave Ne Bldg A Suite A, Atlanta GA 30324-4869 -
Bioscrip Pharmacy, Inc.
8490 Santa Monica Blvd Ste 1, West Hollywood CA 90069-4261 -
Aurora Pharmacy Inc
1881 Chicago St , De Pere WI 54115-3770 -
Shopko Stores Operating Co Llc
230 N Wisconsin St , De Pere WI 54115 -
Bioscrip Pharmacy, Inc.
4940 Van Nuys Blvd Ste 104, Sherman Oaks CA 91403-1700