Shopko Rxcare
LBN: Shopko Institutional Care Services Co Llc
Shopko Rxcare is an health care organization with primary practice located at 3184 London Rd , Eau Claire WI 54701-6834. 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 (715) 832-3780, or through Bettiga, Michael via phone (920) 429-4297.
Contact Information
Primary practice address
3184 London Rd
Eau Claire WI 54701-6834
Phone: (715) 832-3780
Fax: (715) 832-3766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1811235781 |
|---|---|
| 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 | Jan 28th, 2013 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1811235781 | NPPES |
| Wisconsin | MEDICAID | 1811235781 | |
| Wisconsin | Other | 9191-42 | |
| Wisconsin | Other | 5133513 |
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