Shopko Stores Operating Co. LLC

NPI #1124071758 in Monroe, Wisconsin

Provider Information

NPI Number
1124071758
Entity Type
Organization
Organization Name
Shopko Stores Operating Co. LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
May 17, 2006
Last Updated
Feb 11, 2008

Practice Location

Address
405 W 8TH ST
City
Monroe
ZIP Code
53566-1063
Phone
(608) 328-3333

Authorized Official

Name
MICHAEL J BETTIGA, RPH
Title
SR. VICE PRESIDENT HEALTH SERVICES
Phone
(920) 429-4297

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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