Shopko Stores Operating Co LLC
NPI #1538412358 in Thermopolis, Wyoming
Provider Information
- NPI Number
- 1538412358
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 17, 2012
- Last Updated
- Feb 14, 2013
Practice Location
- Address
- 142 S HIGHWAY 20
- City
- Thermopolis
- State
- Wyoming
- ZIP Code
- 82443-9403
- Phone
- (307) 864-3777
Authorized Official
- Name
- MICHAEL BETTIGA, RPH
- Title
- EXECUTIVE VICE PRESIDENT AND COO
- Phone
- (920) 429-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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