SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

SHOPKO STORES OPERATING CO LLC

3271 MARKETPLACE DR
COUNCIL BLUFFS, IA 51501

Phone: 712-366-0377
Fax: 712-366-9020
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

Indicates primary specialty

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NPI Profile & details for SHOPKO STORES OPERATING CO LLC

NPI Number 1700042884

LBN Legal business name SHOPKO STORES OPERATING CO LLC

Authorized official MICHAEL BETTIGA - (SR. VICE PRESIDENT HEALTH SERVICES)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/29/2008

Last updated 05/13/2009 - About 17 years ago

Identifiers

IA	Medicaid	1700042884
NE	Medicaid	10025730800
	Other	1623621	NCPDP
	Other	1700042884	WELLMARK BCBS IA DME BLUE SHIELD ALLIANCE SELECT SELECT FIRST

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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SHOPKO STORES OPERATING CO LLC

Contact Information

Specialty

Community/Retail Pharmacy

Durable Medical Equipment & Medical Supplies

NPI Profile & details for SHOPKO STORES OPERATING CO LLC

Reviews for SHOPKO STORES OPERATING CO LLC