Shopko Stores Operating Co LLC
NPI #1770535866 in Missouri Valley, Iowa
Provider Information
- NPI Number
- 1770535866
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 17, 2006
- Last Updated
- Jan 25, 2013
Practice Location
- Address
- 413 W HURON ST
- City
- Missouri Valley
- State
- Iowa
- ZIP Code
- 51555-1436
- Phone
- (712) 642-2716
Authorized Official
- Name
- MR. MICHAEL BETTIGA, RPH
- Title
- EXECUTIVE VICE PRESIDENT AND 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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