Shopko Stores Operating Co LLC

NPI #1558618595 in Waupaca, Wisconsin

Provider Information

NPI Number
1558618595
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 9, 2012
Last Updated
Oct 29, 2012

Practice Location

Address
800 RIVERSIDE DR
ZIP Code
54981-1943
Phone
(715) 256-1115

Authorized Official

Name
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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