Shopko Stores Operating Co LLC

NPI #1376596940 in Falls City, Nebraska

Provider Information

NPI Number
1376596940
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 18, 2006
Last Updated
Jul 31, 2012

Practice Location

Address
1300 STONE ST
ZIP Code
68355-2657
Phone
(402) 245-5282

Authorized Official

Name
MR. MICHAEL BETTIGA, RPH
Title
EXCUTIVE VICE PRESIDENT & 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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