Shopko Stores Operating Co LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1023063294

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Rothschild, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in: WI
In the registry since: 2006
Specialties on file: 4

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1105 E Grand Ave
Rothschild, WI 54474-1024
Phone: (715) 359-4251
Fax: (715) 359-0145

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary)	Taxonomy 3336C0003X · Licence 8634042 (WI)
Durable Medical Equipment & Medical Supplies	Taxonomy 332B00000X
Eyewear Supplier	Taxonomy 332H00000X
Pharmacy	Taxonomy 333600000X

Record details

NPI number	1023063294
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names	Shopko Pharmacy 008
NPI enumerated	May 24, 2006
Last updated in NPPES	June 6, 2014
Mailing address	1105 E Grand Ave, Rothschild, WI 54474-1024