Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Grafton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- 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.
Practice location Address checks out
1771 Wisconsin AveGrafton, WI 53024-2437
Phone: (262) 375-0016
Fax: (262) 375-3519
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 8605042 (WI) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Eyewear Supplier | Taxonomy 332H00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1740236199 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297 |
| Other names | Shopko Pharmacy 090 |
| NPI enumerated | May 26, 2006 |
| Last updated in NPPES | June 6, 2014 |
| Mailing address | 1771 Wisconsin Ave, Grafton, WI 53024-2437 |
Other providers in Grafton
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Aurora Advanced Healthcare, Inc
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Aurora Advanced Healthcare, Inc
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Mr. Craig Berry
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-
Meijer Stores Limited Partnership
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Wisconsin Cvs Pharmacy LLC
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