Shopko Stores Operating Co LLC

NPI #1659325447 in Sidney, Montana

Provider Information

NPI Number
1659325447
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 19, 2006
Last Updated
Oct 1, 2012

Practice Location

Address
1159 S CENTRAL AVE
City
Sidney
State
Montana
ZIP Code
59270-5219
Phone
(406) 482-6401

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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