Shopko Stores Operating Co LLC

NPI #1053590588 in Valentine, Nebraska

Provider Information

NPI Number
1053590588
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 1, 2007
Last Updated
May 1, 2014

Practice Location

Address
525 E HIGHWAY 20
ZIP Code
69201-2115
Phone
(402) 376-3531

Authorized Official

Name
MR. MICHAEL BETTIGA, RPH
Title
EXECUTIVE VICE PRESIDENT & 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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