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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Seymour, Wisconsin
NPI 1790095099

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Seymour, WI and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Seymour, WI. The NPI Number for Shopko Stores Operating Co Llc is 1790095099 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co Llc is 1010 S Mainline Dr, Seymour, WI and can be reached out via phone at 920-833-0430 and via fax at 920-833-7556.

Location: 1010 S Mainline Dr, Seymour, WI, 54165-1150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790095099
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
1010 S Mainline Dr, Seymour, WI, 54165-1150
Phone Number
920-833-0430
Fax Number
920-833-7556
Provider Enumeration Date
10/20/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790095099 05 WI
institution
Provider Business Practice Location Address Details
Address
1010 S Mainline Dr
City
Seymour
State
Wisconsin
Zip
54165-1150
Phone Number
920-833-0430
Fax Number
920-833-7556
person
Provider Business Mailing Address Details
Address
1010 S Mainline Dr
City
Seymour
State
Wisconsin
Zip
54165-1150
Phone Number
920-833-0430
Fax Number
920-833-7556
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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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