Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Wautoma, Wisconsin. Registered with an NPI since 2006.
- 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
N2585 Plaza RdWautoma, WI 54982-7706
Phone: (920) 787-2090
Fax: (920) 787-4605
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 | 1811941586 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Executive Vice President & Coo · (920) 429-4297 |
| Other names | Shopko Pharmacy 617 |
| NPI enumerated | May 19, 2006 |
| Last updated in NPPES | September 4, 2012 |
| Mailing address | N2585 Plaza Rd, Wautoma, WI 54982-7706 |
Other providers in Wautoma
-
Aurora Medical Group, Inc
900 E Division St, Wautoma, WI 54982-6944 · (920) 787-6900
-
Rcs Management Corp
220 W Main St, Wautoma, WI 54982-5411 · (800) 760-5055
-
Shopko Stores Operating Co , LLC
N2934 State Road 22, Wautoma, WI 54982-5267 · (920) 429-4726
-
Wautoma Hometown Pharmacy LLC
W7810 State Road 21 73 Ste 300, Wautoma, WI 54982-7363 · (920) 787-9561