Shopko Stores Operating Co LLC

NPI #1811179666 in Dillon, Montana

Provider Information

NPI Number
1811179666
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 4, 2007
Last Updated
Jul 31, 2012

Practice Location

Address
125 EAST GLENDALE
City
Dillon
State
Montana
ZIP Code
59725
Phone
(406) 683-2316

Authorized Official

Name
MR. MICHAEL BETTIGA, RPH
Title
EXECUTIVE VICE PRESIDENT & COO
Phone
(920) 429-4297

Specialties & Taxonomy Codes

Specialty
Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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