Organization · Type 2 NPI

Shopko Stores Operating Co LLC

Community/Retail Pharmacy · Racine, WI

NPI number 1174579528 Active

Practice location

4801 Washington Ave
Racine, WI 53406-4219

Fax (262) 637-0752

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Eyewear Supplier	332H00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	8623042 (WI)

Community/Retail Pharmacy: 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 …

5 other providers at this address

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About NPI 1174579528

Shopko Stores Operating Co LLC's National Provider Identifier is 1174579528, issued on May 26, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Racine, WI. The record was last updated on Aug 27, 2013.