Shopko Stores Operating Co LLC

NPI #1023069309 in Lincoln, Nebraska

Provider Information

NPI Number
1023069309
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 12, 2006
Last Updated
Jun 6, 2014

Practice Location

Address
6845 S 27TH ST
ZIP Code
68512-4823
Phone
(402) 420-1199

Authorized Official

Name
MR. MICHAEL J BETTIGA, RPH
Title
SR. VICE PRESIDENT HEALTH SERVICES
Phone
(920) 429-4297

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Eyewear Supplier
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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