Shopko Rxcare

LBN: Shopko Institutional Care Services Co Llc
Shopko Rxcare is an health care organization with primary practice located at 2704 Industrial Drive , Monona WI 53713-4806. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Shopko Institutional Care Services Co Llc can be contacted via phone (608) 223-0054, or through Bettiga, Michael via phone (920) 429-4297.

Contact Information

Primary practice address
2704 Industrial Drive Monona WI 53713-4806
Phone: (608) 223-0054
Fax: (608) 223-0225
Website:
Map and Directions
Authorized official contact:
Name: Bettiga, Michael RPH
Phone: (920) 429-4297

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Long Term Care Pharmacy 3336L0003X 9042042 Wisconsin

Profile Details

NPI number 1770893968
LBN Legal business name Shopko Institutional Care Services Co Llc
DBA Doing business as Shopko Rxcare
Authorized official Bettiga, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2010
Last updated Oct 17th, 2013 - 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 1770893968 NPPES
Wisconsin MEDICAID 1770893968
Wisconsin MEDICAID 203940171001

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