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Shopko Institutional Care Services Co Llc
Long Term Care Pharmacy in Appleton, Wisconsin
NPI 1053621243

Shopko Institutional Care Services Co Llc is a Long Term Care Pharmacy based in Appleton, WI and is specialized in Long Term Care Pharmacy. Shopko Institutional Care Services Co Llc practices in Appleton, WI. The NPI Number for Shopko Institutional Care Services Co Llc is 1053621243 and holds a License No. (Wisconsin).

The current practice location address for Shopko Institutional Care Services Co Llc is 3701 E Evergreen Dr, Appleton, WI and can be reached out via phone at 920-739-7855 and via fax at 920-739-3922. You can also correspond with Shopko Institutional Care Services Co Llc through the mailing address at 3701 E EVERGREEN DR, APPLETON, WI - 54913-7402 (mailing address contact number: 920-739-7855).

Location: 3701 E Evergreen Dr, Appleton, WI, 54913-7402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053621243
Provider Name
Shopko Institutional Care Services Co Llc
Credential
Provider Entity Type
Organization
Address
3701 E Evergreen Dr, Appleton, WI, 54913-7402
Phone Number
920-739-7855
Fax Number
920-739-3922
Provider Enumeration Date
10/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053621243 05 MI
1053621243 05 WI
institution
Provider Business Practice Location Address Details
Address
3701 E Evergreen Dr
City
Appleton
State
Wisconsin
Zip
54913-7402
Phone Number
920-739-7855
Fax Number
920-739-3922
person
Provider Business Mailing Address Details
Address
3701 E Evergreen Dr
City
Appleton
State
Wisconsin
Zip
54913-7402
Phone Number
920-739-7855
Fax Number
920-739-3922
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
9041042 (Wisconsin)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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