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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHOPKO STORES OPERATING CO LLC

Active Organization

SHOPKO STORES OPERATING CO LLC is a Long-Term Care Pharmacy organization located in GREEN BAY, Wisconsin. NPI 1003862442 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · GREEN BAY, WI

Registration Details

NPI Number
1003862442
Provider Type
Organization
NPI Issued
May 26, 2006 (20.203211662908 yrs)
Last Updated
Feb 14, 2014
License
8636042 (WI)

Practice Information

Address
2430 E MASON ST
GREEN BAY, WI, 543023759
Browse WI providers · Browse ZIP 54302
Phone
9204686044
Fax
9204683490
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Pharmacy
Additional Specialty
Eyewear Supplier
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in GREEN BAY, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.