Shopko Pharmacy 057
LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 057 is an health care organization with primary practice located at 405 Cottonwood Dr , Winona MN 55987-1914. 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) 452-1244, or through Bettiga, Michael J via phone (920) 429-4297.
Contact Information
Primary practice address
405 Cottonwood Dr
Winona MN 55987-1914
Phone: (507) 452-1244
Fax: (507) 457-3526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2628037 | Minnesota |
Profile Details
| NPI number | 1699728469 |
|---|---|
| LBN Legal business name | Shopko Stores Operating Co Llc |
| DBA Doing business as | Shopko Pharmacy 057 |
| Authorized official | Bettiga, Michael J RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Aug 7th, 2008 - about 16 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 | 1699728469 | NPPES |
| Other | 2417865 | NCPDP NUMBER | |
| MEDICAID | 057482000 | NCPDP NUMBER | |
| MEDICAID | 676758300 | NCPDP NUMBER | |
| MEDICAID | 33070000 | NCPDP NUMBER |
Popular Providers
-
Walmart Inc.
955 Frontenac Dr , Winona MN 55987-6522 -
Bioscrip Pharmacy, Inc.
8490 Santa Monica Blvd Ste 1, West Hollywood CA 90069-4261 -
La Quinta Pharmacy
78150 Calle Tampico Ste 103, La Quinta CA 92253-2907 -
Roger F Harwich Charles W Rogers Sidney Hughes Etal
859 Mankato Ave , Winona MN 55987-6435 -
Walgreen Co
750 Mankato Ave , Winona MN 55987-4829 -
Bioscrip Pharmacy, Inc.
4940 Van Nuys Blvd Ste 104, Sherman Oaks CA 91403-1700 -
Grand St Paul Cvs Llc
860 Mankato Ave , Winona MN 55987-4867 -
Bioscrip Pharmacy, Inc.
1874 Piedmont Ave Ne Bldg A Suite A, Atlanta GA 30324-4869