SHOPKO STORES OPERATING CO LLC

LA CROSSE, WI
NPI1790731438
Doing Business AsSHOPKO PHARMACY 020
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  8613042)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
333600000X Pharmacy
Enumeration Date2006-05-25
Last Update Date2008-08-06
Business Address
SHOPKO STORES OPERATING CO LLC
2400 ROSE ST
LA CROSSE, WI 54603-1612
Phone number: 608-781-3300
Mailing Address
SHOPKO STORES OPERATING CO LLC
2400 ROSE ST
LA CROSSE, WI 54603-1612
Phone number: 608-781-3300