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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Kenosha, Wisconsin
NPI 1326094772

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Kenosha, WI and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Kenosha, WI. The NPI Number for Shopko Stores Operating Co Llc is 1326094772 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co Llc is 5300 52Nd St, Kenosha, WI and can be reached out via phone at 262-658-8137 and via fax at 262-658-8261.

Location: 5300 52Nd St, Kenosha, WI, 53144-2310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326094772
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
5300 52Nd St, Kenosha, WI, 53144-2310
Phone Number
262-658-8137
Fax Number
262-658-8261
Provider Enumeration Date
05/26/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
33026400 05 WI
5115337 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
5300 52Nd St
City
Kenosha
State
Wisconsin
Zip
53144-2310
Phone Number
262-658-8137
Fax Number
262-658-8261
person
Provider Business Mailing Address Details
Address
5300 52Nd St
City
Kenosha
State
Wisconsin
Zip
53144-2310
Phone Number
262-658-8137
Fax Number
262-658-8261
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
8596042 (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
332H00000X
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
333600000X
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
3336C0003X
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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