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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 BEAVER DAM, Wisconsin. NPI 1902852353 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · BEAVER DAM, WI

Registration Details

NPI Number
1902852353
Provider Type
Organization
NPI Issued
May 26, 2006 (20.232967581644 yrs)
Last Updated
Jun 6, 2014
License
8633042 (WI)

Practice Information

Address
822 PARK AVE
BEAVER DAM, WI, 539162266
Browse WI providers · Browse ZIP 53916
Phone
9208877461
Fax
9208870725
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 BEAVER DAM, 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.