SHOPKO INSTITUTIONAL CARE SERVICES CO LLC NPI 1811235781

NPI Information

NPI: 1811235781
Provider Name: SHOPKO INSTITUTIONAL CARE SERVICES CO LLC
Classification: Pharmacy - 3336L0003X
Specialization: Long Term Care Pharmacy
Entity Type: Organization
Doing Business As: SHOPKO RXCARE
Address: 3184 LONDON RD
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 832-3780

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NPI Details

SHOPKO INSTITUTIONAL CARE SERVICES CO LLC is a long term care pharmacy pharmacy in Eau Claire, WI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SHOPKO INSTITUTIONAL CARE SERVICES CO LLC NPI is 1811235781. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Rxcare.

The provider's business location address is:

3184 LONDON RD
EAU CLAIRE, WI
ZIP 54701-834
Phone: (715) 832-3780
Fax: (715) 832-3766

The provider's authorized official is Michael Bettiga .
The authorized official title is Executive Vice President And Coo and has the following contact phone number (920) 429-4297.

The enumeration date for this NPI number is 1/28/2013 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	3336L0003X	Pharmacy	Long Term Care Pharmacy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1811235781	MEDICAID	WISCONSIN
2	9191-42	OTHER		LICENSE
3	5133513	OTHER	WISCONSIN	NCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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