Shopko Stores Operating Co LLC

NPI #1083660435 in Kimberly, Wisconsin

Provider Information

NPI Number
1083660435
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 26, 2006
Last Updated
May 22, 2014

Practice Location

Address
800 E MAES AVE
ZIP Code
54136-1527
Phone
(920) 788-9154

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
Pharmacy
Eyewear Supplier
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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