Shopko Stores Operating Co LLC
NPI #1194776179 in West Valley City, Utah
Provider Information
- NPI Number
- 1194776179
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 13, 2006
- Last Updated
- Aug 27, 2013
Practice Location
- Address
- 4850 W 3500 S
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-2927
- Phone
- (801) 966-6500
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 |
| Eyewear Supplier |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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