NPI | 1053621243 |
---|---|
Doing Business As | SHOPKO RXCARE |
Entity Type | Organization |
Authorized Contact | MICHAEL BETTIGA Executive Vice President And COO 920-429-4297 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9041042) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-10-21 |
Last Update Date | 2011-11-01 |