Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Kimberly, 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.
Practice location Address checks out
800 E Maes AveKimberly, WI 54136-1527
Phone: (920) 788-9154
Fax: (920) 788-3255
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 8622042 (WI) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Eyewear Supplier | Taxonomy 332H00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1083660435 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297 |
| Other names | Shopko Pharmacy 028 |
| NPI enumerated | May 26, 2006 |
| Last updated in NPPES | May 22, 2014 |
| Mailing address | 800 E Maes Ave, Kimberly, WI 54136-1527 |
Other providers in Kimberly
-
United Seating and Mobility LLC
1110 W Kennedy Ave, Kimberly, WI 54136-2206 · (920) 749-3777