Shopko Stores Operating Co LLC

NPI #1740469394 in Evart, Michigan

Provider Information

NPI Number
1740469394
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 31, 2007
Last Updated
Feb 18, 2013

Practice Location

Address
107 NORTH MAIN
City
Evart
ZIP Code
49631
Phone
(231) 734-5581

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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