Shopko Stores Operating Co LLC

NPI #1477505519 in Mount Ayr, Iowa

Provider Information

NPI Number
1477505519
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 17, 2006
Last Updated
Dec 27, 2012

Practice Location

Address
201 N FILLMORE ST
State
Iowa
ZIP Code
50854-1627
Phone
(641) 464-4527

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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