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Contact Information

SHOPKO STORES OPERATING CO LLC
114 S MAIN
SMITH CENTER, KS66967
 Phone: 785-282-6443
 Fax: 785-282-3550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHOPKO STORES OPERATING CO LLC

NPI # 1477732022
LBN Legal business name SHOPKO STORES OPERATING CO LLC
Authorized official MICHAEL BETTIGA - (EXECUTIVE VICE PRESIDENT & COO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2007
Last updated 02/11/2013 - About 13 years ago
Identifiers
KS Medicaid 200389320I
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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