Shopko Stores Operating Co LLC

NPI #1033158944 in Rawlins, Wyoming

Provider Information

NPI Number
1033158944
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 6, 2006
Last Updated
Dec 27, 2012

Practice Location

Address
2100 E CEDAR ST
State
Wyoming
ZIP Code
82301-6029
Phone
(307) 324-5276

Authorized Official

Name
MR. MICHAEL BETTIGA, RPH
Title
EXECUTIVE VICE PRESIDENT AND COO
Phone
(920) 429-4297

Specialties & Taxonomy Codes

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

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