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
Phone: (308) 382-6744
Fax: (308) 381-8401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2676 | Nebraska |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790736072 | NPPES |
| Nebraska | MEDICAID | 10025074300 | |
| Nebraska | Other | 2811138 | |
| Nebraska | MEDICAID | 10025413600 |
Popular Providers
-
B&R Stores, Inc
1607 S Locust St , Grand Island NE 68801-8246 -
B&R Stores, Inc
620 State St , Grand Island NE 68801-3552 -
U-Save Pharmacy Inc
2444 W Faidley Ave , Grand Island NE 68803-4327 -
Walmart Inc.
2250 N Diers Ave , Grand Island NE 68803-1258 -
Skagway Disc Dept. Stores, Inc.
1607 S Locust St , Grand Island NE 68801-8246 -
Mcm Pharmacy Inc
3224 W 13Th St , Grand Island NE 68803-2445 -
B & R Stores Inc
710 West State St , Grand Island NE 68801 -
Hy-Vee Inc
115 Wilmar Ave , Grand Island NE 68803-3547