Shopko Stores Operating Co LLC

NPI #1962453845 in Watertown, South Dakota

Provider Information

NPI Number
1962453845
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 15, 2006
Last Updated
Jun 6, 2014

Practice Location

Address
700 9TH AVE SE
ZIP Code
57201-5222
Phone
(605) 882-2011

Authorized Official

Name
MR. MICHAEL J BETTIGA, RPH
Title
SR. VICE PRESIDENT HEALTH SERVICES
Phone
(920) 429-4297

Specialties & Taxonomy Codes

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

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