Shopko Pharmacy 038

LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 038 is an health care organization with primary practice located at 2208 N Webb Rd , Grand Island NE 68803-1739. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service), Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shopko Stores Operating Co Llc can be contacted via phone (308) 382-6744, or through Steinhorst, Russell via phone (920) 429-7489.

Contact Information

Primary practice address
2208 N Webb Rd Grand Island NE 68803-1739
Fax: (308) 381-8401
Website:
Authorized official contact:
Name: Steinhorst, Russell

Health care specialties

Profile Details

NPI number 1790736072
LBN Legal business name Shopko Stores Operating Co Llc
DBA Doing business as Shopko Pharmacy 038
Authorized official Steinhorst, Russell
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Dec 21st, 2015 - about 9 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 1790736072 NPPES
Nebraska MEDICAID 10025074300
Nebraska Other 2811138
Nebraska MEDICAID 10025413600

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