Shopko Stores Operating Co LLC

NPI #1851345060 in Norton, Kansas

Provider Information

NPI Number
1851345060
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 20, 2006
Last Updated
Nov 29, 2012

Practice Location

Address
505 W HOLME ST
City
Norton
State
Kansas
ZIP Code
67654-1247
Phone
(785) 877-2133

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 PharmacyCommunity/Retail Pharmacy

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