Shopko Stores Operating Co LLC

NPI #1588616965 in Chariton, Iowa

Provider Information

NPI Number
1588616965
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 16, 2006
Last Updated
Jan 23, 2013

Practice Location

Address
1901 W COURT AVE
State
Iowa
ZIP Code
50049-1905
Phone
(641) 774-5505

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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