Shopko Stores Operating Co LLC

NPI #1619921343 in West Point, Nebraska

Provider Information

NPI Number
1619921343
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 19, 2006
Last Updated
Aug 21, 2012

Practice Location

Address
500 PLAZA DRIVE
ZIP Code
68788-1835
Phone
(402) 372-5655

Authorized Official

Name
MR. MICHAEL BETTIGA, RPH
Title
EXECUTIVE VICE PRESIDENT & COO
Phone
(920) 429-4297

Specialties & Taxonomy Codes

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

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