Shopko Pharmacy 132
LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 132 is an health care organization with primary practice located at 320 S Access Rd , Rice Lake WI 54868-8572. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service), 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) 236-7414, or through Steinhorst, Russell via phone (920) 429-7489.
Contact Information
Primary practice address
320 S Access Rd
Rice Lake WI 54868-8572
Phone: (715) 236-7414
Fax: (715) 236-7714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8603042 | Wisconsin |
Profile Details
| NPI number | 1780639906 |
|---|---|
| LBN Legal business name | Shopko Stores Operating Co Llc |
| DBA Doing business as | Shopko Pharmacy 132 |
| Authorized official | Steinhorst, Russell |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jun 12th, 2017 - about 7 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 | 1780639906 | NPPES |
| Other | 5122229 | NCPDP NUMBER | |
| MEDICAID | 33203200 | NCPDP NUMBER |
Popular Providers
-
Osterbauer Drugs Ltd
312 W Knapp St , Rice Lake WI 54868-1631 -
E.A. Mccullough, Inc.
269 Broad St , Lake Geneva WI 53147-1809 -
Wal-Mart Stores East Lp
201 S Edwards Blvd , Lake Geneva WI 53147-4507 -
Wal-Mart Stores East Lp
2501 West Ave , Rice Lake WI 54868-6000 -
Mercy Health System Corporation
N2950 State Road 67 , Lake Geneva WI 53147-2655 -
Shopko Stores Operating Co Llc
203 N Main St , Lake Mills WI 53551-1610 -
Walgreen Co
502 S Main St , Rice Lake WI 54868-2576 -
Aurora Pharmacy Inc
25320 75Th St , Paddock Lake WI 53168