Shopko Pharmacy 145

LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 145 is an health care organization with primary practice located at 1190 N 6Th St , Monmouth IL 61462-9672. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service), Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shopko Stores Operating Co Llc can be contacted via phone (309) 734-7579, or through Steinhorst, Russell via phone (920) 429-7489.

Contact Information

Primary practice address
1190 N 6Th St Monmouth IL 61462-9672
Phone: (309) 734-7579
Fax: (309) 734-8111
Website:
Map and Directions
Authorized official contact:
Name: Steinhorst, Russell
Phone: (920) 429-7489

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054015892 Illinois

Profile Details

NPI number 1912933813
LBN Legal business name Shopko Stores Operating Co Llc
DBA Doing business as Shopko Pharmacy 145
Authorized official Steinhorst, Russell
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 23rd, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912933813 NPPES
Other 1468695 NCPDP NUMBER
MEDICAID 371110040145 NCPDP NUMBER

Popular Providers