Shopko Rxcare 404

LBN: Shopko Institutional Care Services Co Llc
Shopko Rxcare 404 is an health care organization with primary practice located at 150 N Patrick Blvd 250, Brookfield WI 53045-5892. 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 (920) 429-2211, or through Bettiga, Michael via phone (920) 429-4297.

Contact Information

Primary practice address
150 N Patrick Blvd 250 Brookfield WI 53045-5892
Phone: (920) 429-2211
Fax:
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 9248-42 Wisconsin

Profile Details

NPI number 1831515766
LBN Legal business name Shopko Institutional Care Services Co Llc
DBA Doing business as Shopko Rxcare 404
Authorized official Bettiga, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2014
Last updated Mar 17th, 2014 - 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.

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