Shopko Stores Operating Co LLC

NPI #1295921435 in Ainsworth, Nebraska

Provider Information

NPI Number
1295921435
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 21, 2007
Last Updated
Dec 31, 2012

Practice Location

Address
1511 EAST 4TH
ZIP Code
69210
Phone
(402) 387-1533

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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