Shopko Stores Operating Co LLC
NPI #1720112816 in Greenfield, Iowa
Provider Information
- NPI Number
- 1720112816
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Apr 18, 2013
Practice Location
- Address
- 202 SW KENT
- City
- Greenfield
- State
- Iowa
- ZIP Code
- 50849-0254
- Phone
- (641) 743-2201
Authorized Official
- Name
- MR. MICHAEL BETTIGA, RPH
- Title
- EXECUTUIVE VICE PRESIDENT & COO
- Phone
- (920) 429-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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