SHOPKO STORES OPERATING CO LLC

MERIDIAN, ID
NPI1235176983
Doing Business AsSHOPKO PHARMACY 169
Entity TypeOrganization
Authorized ContactMICHAEL J BETTIGA
Sr. Vice President Health Services
920-429-4297
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: ID  2038CP)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
333600000X Pharmacy
(Licence: ID  2038CP)
Enumeration Date2006-06-01
Last Update Date2009-07-10
Business Address
SHOPKO STORES OPERATING CO LLC
3499 E FAIRVIEW AVE
MERIDIAN, ID 83642-5848
Phone number: 208-884-1286
Mailing Address
SHOPKO STORES OPERATING CO LLC
3499 E FAIRVIEW AVE
MERIDIAN, ID 83642-5848
Phone number: 208-884-1286