Shopko Pharmacy 2648

LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 2648 is an health care organization with primary practice located at 2655 W Chicago Blvd , Tecumseh MI 49286. 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 (517) 423-4420, or through Steinhorst, Russell via phone (920) 429-7489.

Contact Information

Primary practice address
2655 W Chicago Blvd Tecumseh MI 49286
Phone: (517) 423-4420
Fax: (517) 423-7610
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 / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1508819392
LBN Legal business name Shopko Stores Operating Co Llc
DBA Doing business as Shopko Pharmacy 2648
Authorized official Steinhorst, Russell
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Dec 14th, 2015 - 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 1508819392 NPPES
Other 2353186 NCPDP NUMBER
MEDICAID 2353186 NCPDP NUMBER
MEDICAID 3081011 NCPDP NUMBER
MEDICAID 4913839 NCPDP NUMBER
MEDICAID 3082645 NCPDP NUMBER

Popular Providers