Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
- 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
4161 2nd St SSaint Cloud, MN 56301-3761
Phone: (320) 253-3280
Fax: (320) 253-5790
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 · Licence 2627960 (MN) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Eyewear Supplier | Taxonomy 332H00000X |
Record details
| NPI number | 1609829464 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297 |
| Other names | Shopko Pharmacy 017 |
| NPI enumerated | May 19, 2006 |
| Last updated in NPPES | May 22, 2014 |
| Mailing address | 4161 2nd St S, Saint Cloud, MN 56301-3761 |
Other providers in Saint Cloud
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Sams West Inc
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Shopko Stores Operating Co LLC
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