SHOPKO INSTITUTIONAL CARE SERVICES CO LLC NPI 1831515766

NPI Information

SHOPKO INSTITUTIONAL CARE SERVICES CO LLC is a long term care pharmacy pharmacy in Brookfield, 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 1831515766. The provider is registered as an organization entity type.
The provider Is Doing Business As Shopko Rxcare 404.

The provider's business location address is:

150 N PATRICK BLVD
250
BROOKFIELD, WI
ZIP 53045-892
Phone: (920) 429-2211

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 3/17/2014 and was last updated on 3/17/2014.

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:

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