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Contact Information

SHOPKO STORES OPERATING CO LLC
2655 W CHICAGO BLVD
TECUMSEH, MI49286
 Phone: 517-423-4420
 Fax: 517-423-7610
 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 Number 1508819392
LBN Legal business name SHOPKO STORES OPERATING CO LLC
Authorized official RUSSELL STEINHORST - (SVP AND COO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2006
Last updated 12/14/2015 - About 10 years ago
Identifiers
MI Medicaid 2353186
MI Medicaid 3081011
MI Medicaid 3082645
MI Medicaid 4913839
Other 2353186 NCPDP NUMBER
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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