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SHOPKO INSTITUTIONAL CARE SERVICES CO LLC NPI 1811235781


NPI Information

NPI: 1811235781
Provider Name: SHOPKO INSTITUTIONAL CARE SERVICES CO LLC

Doing Business As: SHOPKO RXCARE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3184 LONDON RD
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 832-3780
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336L0003XPharmacyLong Term Care PharmacyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11811235781MEDICAIDWISCONSIN
29191-42OTHERLICENSE
35133513OTHERWISCONSINNCPDP

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.