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Shopko Stores Operating Co Llc
Community/Retail Pharmacy in Wautoma, Wisconsin
NPI 1811941586

Shopko Stores Operating Co Llc is a Community/Retail Pharmacy based in Wautoma, WI and is specialized in Community/Retail Pharmacy. Shopko Stores Operating Co Llc practices in Wautoma, WI. The NPI Number for Shopko Stores Operating Co Llc is 1811941586 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co Llc is N2585 Plaza Rd, Wautoma, WI and can be reached out via phone at 920-787-2090 and via fax at 920-787-4605.

Location: N2585 Plaza Rd, Wautoma, WI, 54982-7706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811941586
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
N2585 Plaza Rd, Wautoma, WI, 54982-7706
Phone Number
920-787-2090
Fax Number
920-787-4605
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0459230035 01 MEDICARE ID - TYPE UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
N2585 Plaza Rd
City
Wautoma
State
Wisconsin
Zip
54982-7706
Phone Number
920-787-2090
Fax Number
920-787-4605
person
Provider Business Mailing Address Details
Address
N2585 Plaza Rd
City
Wautoma
State
Wisconsin
Zip
54982-7706
Phone Number
920-787-2090
Fax Number
920-787-4605
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
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 3
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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