Shopko Stores Operating Co LLC

NPI #1588818702 in Lander, Wyoming

Provider Information

NPI Number
1588818702
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 14, 2008
Last Updated
Dec 18, 2012

Practice Location

Address
1255 WEST MAIN STREET
City
Lander
State
Wyoming
ZIP Code
82520-2653
Phone
(307) 332-5712

Authorized Official

Name
MR. 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 PharmacyCommunity/Retail Pharmacy

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