Shopko Stores Operating Co LLC
NPI #1144529058 in Abbotsford, Wisconsin
Provider Information
- NPI Number
- 1144529058
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 17, 2011
- Last Updated
- May 31, 2011
Practice Location
- Address
- 1011 E SPRUCE ST
- City
- Abbotsford
- State
- Wisconsin
- ZIP Code
- 54405-9647
- Phone
- (715) 223-2480
Authorized Official
- Name
- MICHAEL BETTIGA, RPH
- Title
- EXECUTIVE VICE PRESIDENT AND COO
- Phone
- (920) 429-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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