Shopko Stores Operating Co LLC

NPI #1144276593 in Madison, Wisconsin

Provider Information

NPI Number
1144276593
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 26, 2006
Last Updated
Aug 6, 2008

Practice Location

Address
2602 SHOPKO DR
ZIP Code
53704-4074
Phone
(608) 249-6919

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
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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