Shopko Stores Operating Co LLC
NPI #1770536625 in Sturgis, South Dakota
Provider Information
- NPI Number
- 1770536625
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 19, 2006
- Last Updated
- Dec 18, 2012
Practice Location
- Address
- 2105 LAZELLE ST
- Address 2
- STE 2
- City
- Sturgis
- State
- South Dakota
- ZIP Code
- 57785-3028
- Phone
- (605) 347-4553
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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