SHOPKO STORES OPERATING CO LLC

LA CROSSE, WI
NPI1093761447
Doing Business AsSHOPKO PHARMACY 007
Entity TypeOrganization
Authorized ContactMICHAEL J BETTIGA
Sr. Vice President Health Services
920-429-4297
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: WI  8635042)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
333600000X Pharmacy
Enumeration Date2006-05-26
Last Update Date2008-08-06
Business Address
SHOPKO STORES OPERATING CO LLC
4344 MORMON COULEE RD
LA CROSSE, WI 54601-7908
Phone number: 608-788-8860
Mailing Address
SHOPKO STORES OPERATING CO LLC
4344 MORMON COULEE RD
LA CROSSE, WI 54601-7908
Phone number: 608-788-8860