Shopko Stores Operating Co LLC
NPI #1386825248 in Doniphan, Missouri
Provider Information
- NPI Number
- 1386825248
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHOPKO PHARMACY 706
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 20, 2007
- Last Updated
- May 23, 2012
Practice Location
Authorized Official
- Name
- MICHAEL BETTIGA, RPH
- Title
- EXCUTIVE VICE PRESIDENT & COO
- Phone
- (920) 429-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
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