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

SHOPKO INSTITUTIONAL CARE SERVICES CO LLC

Active Organization

SHOPKO INSTITUTIONAL CARE SERVICES CO LLC is a Retail Pharmacy organization located in APPLETON, Wisconsin. NPI 1053621243 is currently active in the NPPES registry. Verify at CMS.

Retail Pharmacy · APPLETON, WI

Registration Details

NPI Number
1053621243
Provider Type
Organization
NPI Issued
Oct 21, 2010 (15.830005163438 yrs)
Last Updated
Nov 1, 2011
License
9041042 (WI)

Practice Information

Address
3701 E EVERGREEN DR
STE 1000
APPLETON, WI, 549137402
Browse WI providers · Browse ZIP 54913
Phone
9207397855
Fax
9207393922
Primary Specialty
Retail Pharmacy
3336L0003X
Additional Specialty
Retail Pharmacy
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.