Shopko Stores Operating Co LLC

NPI #1548211105 in Aberdeen, South Dakota

Provider Information

NPI Number
1548211105
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 16, 2006
Last Updated
Oct 28, 2013

Practice Location

Address
500 N HIGHWAY 281
ZIP Code
57401-1821
Phone
(605) 225-3577

Authorized Official

Name
MR. MICHAEL J BETTIGA, RPH
Title
SR. VICE PRESIDENT HEALTH SERVICES
Phone
(920) 429-4297

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Eyewear Supplier
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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