Shopko Institutional Care Services Co LLC
NPI #1831515766 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1831515766
- Entity Type
- Organization
- Organization Name
- Shopko Institutional Care Services Co LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Mar 17, 2014
- Last Updated
- Mar 17, 2014
Practice Location
- Address
- 150 N PATRICK BLVD
- Address 2
- 250
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-5892
- Phone
- (920) 429-2211
Authorized Official
- Name
- MICHAEL BETTIGA, RPH
- Title
- EXECUTIVE VICE PRESIDENT AND COO
- Phone
- (920) 429-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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