SHOPKO STORES OPERATING CO LLC

APPLETON, WI
NPI1811943269
Doing Business AsSHOPKO PHARMACY 015
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  8592042)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
333600000X Pharmacy
332H00000X Eyewear Supplier (Equipment, not the service)
Enumeration Date2006-05-26
Last Update Date2014-01-21
Business Address
SHOPKO STORES OPERATING CO LLC
1000 W NORTHLAND AVE
APPLETON, WI 54914-1419
Phone number: 920-739-6871
Mailing Address
SHOPKO STORES OPERATING CO LLC
1000 W NORTHLAND AVE
APPLETON, WI 54914-1419
Phone number: 920-739-6871