Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Ellsworth, Wisconsin. Registered with an NPI since 2008.
- In the registry since
- 2008
- 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
598 Lucas LnEllsworth, WI 54011
Phone: (715) 273-4466
Fax: (715) 273-5414
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 | 1609047869 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Executive Vice President & Coo · (920) 429-4297 |
| Other names | Shopko Pharmacy 512 |
| NPI enumerated | March 17, 2008 |
| Last updated in NPPES | January 7, 2013 |
| Mailing address | 598 Lucas Lane, Ellsworth, WI 54011 |