Shopko Stores Operating Co LLC

NPI #1679526446 in Kalispell, Montana

Provider Information

NPI Number
1679526446
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 19, 2006
Last Updated
Jan 21, 2014

Practice Location

Address
1370 US HIGHWAY 2 E
State
Montana
ZIP Code
59901-3221
Phone
(406) 257-1274

Authorized Official

Name
MR. MICHAEL J BETTIGA, RPH
Title
SR. VICE PRESIDENT HEALTH SERVICES
Phone
(920) 429-4297

Specialties & Taxonomy Codes

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

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