Shopko Stores Operating Co LLC

NPI #1568401453 in Worland, Wyoming

Provider Information

NPI Number
1568401453
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 6, 2006
Last Updated
Oct 18, 2012

Practice Location

Address
100 S 20TH ST
State
Wyoming
ZIP Code
82401-3742
Phone
(307) 347-2851

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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