Shopko Pharmacy 511
LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 511 is an health care organization with primary practice located at 400 W 9Th St N , Ladysmith WI 54848-1249. 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 (715) 532-6440, or through Bettiga, Michael via phone (920) 429-4297.
Contact Information
Primary practice address
400 W 9Th St N
Ladysmith WI 54848-1249
Phone: (715) 532-6440
Fax: (715) 532-6585
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1598719742 |
---|---|
LBN Legal business name | Shopko Stores Operating Co Llc |
DBA Doing business as | Shopko Pharmacy 511 |
Authorized official | Bettiga, Michael RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 20th, 2006 |
Last updated | Nov 19th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598719742 | NPPES |
Wisconsin | MEDICAID | 33166600 | |
Wisconsin | Other | 5119830 |
Popular Providers
-
Bioscrip Pharmacy, Inc.
1227 Locust St , Philadelphia PA 19107-5414 -
Bioscrip Pharmacy, Inc.
2100 North Orange Avenue, Suites 101B & 201B , Orlando FL 32804 -
Wal-Mart Stores East Lp
800 W 10Th St S , Ladysmith WI 54848-6301 -
Parkhill Pharmacy, Inc.
352 Lopez Road , Lopez Island WA 98261-0190 -
Bioscrip Pharmacy, Inc.
3900 Fifth Ave Ste 110, San Diego CA 92103-3122 -
Professional Pharmacy Of Pennsburg Inc
931 Main St , Pennsburg PA 18073-1603 -
Bioscrip Pharmacy, Inc.
197 8Th Ave , New York NY 10011-1605 -
Bioscrip Pharmacy, Inc.
4940 Van Nuys Blvd Ste 104, Sherman Oaks CA 91403-1700