Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Lake Mills, 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
203 N Main StLake Mills, WI 53551-1610
Phone: (920) 648-3455
Fax: (920) 648-2712
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 | 1407127889 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Executive Vice President And Coo · (920) 429-4297 |
| Other names | Shopko Pharmacy 612 |
| NPI enumerated | January 18, 2012 |
| Last updated in NPPES | April 20, 2012 |
| Mailing address | 203 N Main St, Lake Mills, WI 53551-1610 |
Other providers in Lake Mills
-
Lake Mills Hometown Pharmacy LLC
372 E Tyranena Park Rd, Lake Mills, WI 53551-9680 · (920) 945-2500
-
Walgreen Co
812 N Main St, Lake Mills, WI 53551-1117 · (920) 648-5187