Shopko Stores Operating Co. LLC
NPI #1972539740 in East Peoria, Illinois
Provider Information
- NPI Number
- 1972539740
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co. LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 24, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 105 N MAIN ST
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-2543
- Phone
- (309) 699-0632
Authorized Official
- Name
- MR. MICHAEL J BETTIGA, RPH
- Title
- SR. VICE PRESIDENT HEALTH SERVICES
- Phone
- (920) 429-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
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