Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- 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
1011 N Wisconsin StPort Washington, WI 53074-1207
Phone: (262) 284-3436
Fax: (262) 284-3422
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 8611042 (WI) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1619922028 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297 |
| Other names | Shopko Pharmacy 503 |
| NPI enumerated | May 24, 2006 |
| Last updated in NPPES | August 15, 2008 |
| Mailing address | 1011 N Wisconsin St, Port Washington, WI 53074-1207 |
Other providers in Port Washington
-
Aurora Advanced Healthcare Inc
1475 W Grand Ave, Port Washington, WI 53074-2074 · (262) 268-5100
-
Aurora Advanced Healthcare, Inc
1777 W Grand Ave, Port Washington, WI 53074-2077 · (262) 284-3456
-
Aurora Advanced Healthcare, Inc
1777 W Grand Ave, Port Washington, WI 53074-2077 · (262) 284-3456
-
Ozaukee County
121 W Main St, Port Washington, WI 53074-1813 · (262) 284-8200