Shopko Stores Operating Co LLC

NPI #1376842286 in Princeton, Minnesota

Provider Information

NPI Number
1376842286
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 17, 2011
Last Updated
Dec 9, 2011

Practice Location

Address
705 NORTHLAND DR
ZIP Code
55371-2168
Phone
(763) 389-3111

Authorized Official

Name
MICHAEL BETTIGA
Title
EXECUTIVE VP & 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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