Shopko Stores Operating Co LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1427007160

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

Licensed in: MI
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

500 S Carpenter Ave
Kingsford, MI 49802-4529
Phone: (906) 774-7907
Fax: (906) 774-5547

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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 5301008363 (MI)
Durable Medical Equipment & Medical Supplies	Taxonomy 332B00000X
Eyewear Supplier	Taxonomy 332H00000X
Pharmacy	Taxonomy 333600000X

Record details

NPI number	1427007160
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Russell Steinhorst — Svp And Cfo · (920) 429-7489
Other names	Shopko Pharmacy 2011
NPI enumerated	May 9, 2006
Last updated in NPPES	December 14, 2015
Mailing address	500 S Carpenter Ave, Kingsford, MI 49802-4529