Shopko Pharmacy 029

LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 029 is an health care organization with primary practice located at 7401 Mineral Point Rd , Madison WI 53717. 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 (608) 833-6622, or through Sedani, Dilip via phone (920) 429-7688.

Contact Information

Primary practice address
7401 Mineral Point Rd Madison WI 53717
Phone: (608) 833-6622
Fax: (608) 833-2275
Website:
Map and Directions
Authorized official contact:
Name: Sedani, Dilip
Phone: (920) 429-7688

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 8595042 Wisconsin

Profile Details

NPI number 1891741245
LBN Legal business name Shopko Stores Operating Co Llc
DBA Doing business as Shopko Pharmacy 029
Authorized official Sedani, Dilip
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Jun 8th, 2018 - about 8 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 1891741245 NPPES
Other 5115262 NCPDP NUMBER
MEDICAID 33025400 NCPDP NUMBER

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