Shopko Stores Operating Co LLC

NPI #1396797403 in Archbold, Ohio

Provider Information

NPI Number
1396797403
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 17, 2006
Last Updated
Oct 22, 2012

Practice Location

Address
2015 S DEFIANCE ST
State
Ohio
ZIP Code
43502-9111
Phone
(419) 445-0052

Authorized Official

Name
MR. MICHAEL BETTIGA, RPH
Title
EXECUTIVE 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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