Shopko Pharmacy

NPI #1790039345 in Arcadia, Wisconsin

Provider Information

NPI Number: 1790039345
Entity Type: Organization
Organization Name: Shopko Pharmacy
Primary Specialty: Pharmacy
Enumeration Date: Nov 5, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 1625 E BLASCHKO AVE
City: Arcadia
State: Wisconsin
ZIP Code: 54612-1835
Phone: (608) 323-8134

Authorized Official

Name: MRS. JESSIE BAWEK, RPH
Title: PHARMACIST
Phone: (608) 323-8134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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