SHOPKO STORES OPERATING CO LLC

PORT WASHINGTON, WI
NPI1619922028
Doing Business AsSHOPKO PHARMACY 503
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  8611042)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
333600000X Pharmacy
Enumeration Date2006-05-24
Last Update Date2008-08-15
Business Address
SHOPKO STORES OPERATING CO LLC
1011 N WISCONSIN ST
PORT WASHINGTON, WI 53074-1207
Phone number: 262-284-3436
Mailing Address
SHOPKO STORES OPERATING CO LLC
1011 N WISCONSIN ST
PORT WASHINGTON, WI 53074-1207
Phone number: 262-284-3436