Shopko Pharmacy 170
LBN: Shopko Stores Operating Co Llc
Shopko Pharmacy 170 is an health care organization with primary practice located at 2200 Lincoln St , Rhinelander WI 54501-3631. 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) 362-3999, or through Neumann, Lorie via phone (920) 429-4726.
Contact Information
Primary practice address
2200 Lincoln St
Rhinelander WI 54501-3631
Phone: (715) 362-3999
Fax: (715) 362-4919
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 | 8621042 | Wisconsin |
Profile Details
NPI number | 1871548594 |
---|---|
LBN Legal business name | Shopko Stores Operating Co Llc |
DBA Doing business as | Shopko Pharmacy 170 |
Authorized official | Neumann, Lorie |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Jul 14th, 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 | 1871548594 | NPPES |
Wisconsin | MEDICAID | 33240900 | |
Wisconsin | Other | 5125150 |
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