| NPI | 1831515766 |
|---|---|
| Doing Business As | SHOPKO RXCARE 404 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BETTIGA Executive Vice President And COO 920-429-4297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WI 9248-42) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |