Shopko Stores Operating Co LLC

NPI #1265485031 in Onawa, Iowa

Provider Information

NPI Number
1265485031
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 19, 2006
Last Updated
Jan 25, 2013

Practice Location

Address
2220 HIGHWAY 175 W
City
Onawa
State
Iowa
ZIP Code
51040-0149
Phone
(712) 423-9648

Authorized Official

Name
MR. 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 PharmacyCommunity/Retail Pharmacy

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