Shopko Stores Operating Co LLC

NPI #1083896716 in Jackson, Minnesota

Provider Information

NPI Number
1083896716
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 5, 2007
Last Updated
Jul 31, 2012

Practice Location

Address
506 2ND ST
ZIP Code
56143
Phone
(507) 847-2480

Authorized Official

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

Specialties & Taxonomy Codes

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

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