Shopko Stores Operating Co LLC

NPI #1093769861 in Lewistown, Montana

Provider Information

NPI Number
1093769861
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 19, 2006
Last Updated
Nov 20, 2012

Practice Location

Address
825 NE MAIN ST
State
Montana
ZIP Code
59457-2080
Phone
(406) 538-9262

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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