Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Stanley, 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
409 Junction AveStanley, WI 54768-8011
Phone: (715) 644-6168
Fax: (715) 644-5956
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 | 1578811675 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Executive Vice President & Coo · (920) 429-4297 |
| Other names | Shopko Pharmacy 790 |
| NPI enumerated | August 21, 2012 |
| Last updated in NPPES | January 25, 2013 |
| Mailing address | 409 Junction Ave, Stanley, WI 54768-8011 |
Other providers in Stanley
-
Aspirus Stanley Hospital & Clinics, Inc
1120 Pine St, Stanley, WI 54768-1297 · (715) 644-6333