<Unavail>

LBN: Shopko Stores Operating Co Llc
<Unavail> is an health care organization with primary practice located at 2200 Lincoln St , Rhinelander WI 54501-3631. 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 (715) 362-3999, or through Neumann, Lorie via phone (920) 429-4726.

Contact Information

Primary practice address
2200 Lincoln St Rhinelander WI 54501-3631
Phone: (715) 362-3999
Fax: (715) 362-4919
Website:
Map and Directions
Authorized official contact:
Name: Neumann, Lorie
Phone: (920) 429-4726

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8621042 Wisconsin

Profile Details

NPI number 1871548594
LBN Legal business name Shopko Stores Operating Co Llc
DBA Doing business as <Unavail>
Authorized official Neumann, Lorie
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Jul 14th, 2015 - about 11 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 1871548594 NPPES
Wisconsin MEDICAID 33240900
Wisconsin Other 5125150

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