institution
Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Monona, Wisconsin
NPI 1235185687

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Monona, WI and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Monona, WI. The NPI Number for Shopko Stores Operating Co Llc is 1235185687 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co Llc is 2101 W Broadway, Monona, WI and can be reached out via phone at 608-222-2066 and via fax at 608-222-0578.

Location: 2101 W Broadway, Monona, WI, 53713-1638
institution
Provider Profile Details
NPI Number
1235185687
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
2101 W Broadway, Monona, WI, 53713-1638
Phone Number
608-222-2066
Fax Number
608-222-0578
Provider Enumeration Date
05/26/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5115755 01 NCPDP NUMBER
33029700 05 WI
institution
Provider Business Practice Location Address Details
Address
2101 W Broadway
City
State
Zip
53713-1638
Phone Number
608-222-2066
Fax Number
608-222-0578
person
Provider Business Mailing Address Details
Address
2101 W Broadway
City
State
Zip
53713-1638
Phone Number
608-222-2066
Fax Number
608-222-0578
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
8593042 (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
Eyewear Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
()
Definition
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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