Shopko Stores Operating Co LLC
NPI #1053362038 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1053362038
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 13, 2006
- Last Updated
- Jun 6, 2014
Practice Location
- Address
- 955 N MAIN ST
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-1150
- Phone
- (801) 798-3529
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 Pharmacy — Community/Retail Pharmacy |
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