Shopko Stores Operating Co LLC

NPI #1508819384 in Liberty, Kentucky

Provider Information

NPI Number
1508819384
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 19, 2006
Last Updated
Mar 1, 2013

Practice Location

Address
671 WOLFORD AVE
ZIP Code
42539
Phone
(606) 787-4236

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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