SHOPKO INSTITUTIONAL CARE SERVICES CO LLC

Pharmacy - Long Term Care Pharmacy

Active Organization
NPI: 1053621243

Practice Address

3701 E EVERGREEN DR
STE 1000
Appleton, WI 54913

Phone: (920) 739-7855

Specialties

Specialty Code Primary License
Durable Medical Equipment & Medical Supplies 332B00000X No -
Pharmacy - Long Term Care Pharmacy 3336L0003X Yes 9041042 (WI)

Frequently Asked Questions

NPI 1053621243 is the National Provider Identifier for SHOPKO INSTITUTIONAL CARE SERVICES CO LLC, a Pharmacy - Long Term Care Pharmacy provider located in Appleton, WI. This NPI was enumerated on October 21, 2010.

Quick Facts

NPI
1053621243
Type
Organization
Enumerated
Oct 21, 2010
Last Updated
Nov 1, 2011

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