Shopko Stores Operating Co LLC

NPI #1669401899 in Hoopeston, Illinois

Provider Information

NPI Number
1669401899
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 1, 2006
Last Updated
Aug 30, 2012

Practice Location

Address
1020 W CHESTNUT ST
ZIP Code
60942-1967
Phone
(217) 283-4456

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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