Shopko Stores Operating Co., LLC

NPI #1699089995 in Oelwein, Iowa

Provider Information

NPI Number
1699089995
Entity Type
Organization
Organization Name
Shopko Stores Operating Co., LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 29, 2010
Last Updated
Oct 25, 2012

Practice Location

Address
1345 S FREDERICK AVE
State
Iowa
ZIP Code
50662-3060
Phone
(319) 283-2028

Authorized Official

Name
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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