Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Waupaca, Wisconsin. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
825 W Fulton StWaupaca, WI 54981-1471
Phone: (715) 258-7621
Fax: (715) 258-6880
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 |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1265780464 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Executive Vice President & Coo · (920) 429-4297 |
| Other names | Shopko Pharmacy 789 |
| NPI enumerated | August 17, 2012 |
| Last updated in NPPES | December 4, 2012 |
| Mailing address | 825 W Fulton St, Waupaca, WI 54981-1471 |
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