Shopko Stores Operating Co LLC

NPI #1538112735 in Morris, Minnesota

Provider Information

NPI Number
1538112735
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 18, 2006
Last Updated
Oct 1, 2012

Practice Location

Address
116 E HIGHWAY 28
City
Morris
ZIP Code
56267-1171
Phone
(320) 589-0420

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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