Shopko Stores Operating Co LLC

NPI #1922051069 in Pipestone, Minnesota

Provider Information

NPI Number
1922051069
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 18, 2006
Last Updated
Oct 4, 2012

Practice Location

Address
1002 7TH ST SE
ZIP Code
56164-2076
Phone
(507) 825-6517

Authorized Official

Name
MR. MICHAEL BETTIGA, RPH
Title
EXECUTIVE VICE PRESIDENT & 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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