Shopko Pharmacy 611

LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 611 is an health care organization with primary practice located at 1002 Old Minnesota Ave , Saint Peter MN 56082-2023. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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 (507) 931-4410, or through Bettiga, Michael via phone (920) 429-4297.

Contact Information

Primary practice address
1002 Old Minnesota Ave Saint Peter MN 56082-2023
Fax: (507) 931-5434
Website:
Authorized official contact:
Name: Bettiga, Michael RPH

Health care specialties

Profile Details

NPI number 1073884458
LBN Legal business name Shopko Stores Operating Co Llc
DBA Doing business as Shopko Pharmacy 611
Authorized official Bettiga, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2012
Last updated Nov 18th, 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 1073884458 NPPES
Minnesota MEDICAID 1073884458

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