Shopko Stores Operating Co LLC

NPI #1700060639 in Owenton, Kentucky

Provider Information

NPI Number
1700060639
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 27, 2007
Last Updated
Feb 8, 2013

Practice Location

Address
119 W SEMINARY ST
ZIP Code
40359
Phone
(502) 484-3444

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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