Whalio Doctors

NPI 1114113511

Shopko Stores Operating Co LLC

Organisation Community/Retail Pharmacy Greybull, WY

Practice location

Address
925 N 6th Street, Greybull, WY 82426
Phone
(307) 765-4601
Fax
(307) 765-4600
Mailing address
925 N 6th St, Greybull, WY 82426

Authorised official

Name
Michael Bettiga
Title
Executive Vice President & Coo
Phone
(920) 429-4297

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1114113511
Entity type
Organization
NPI issued
19 Sep 2007
Record last updated
15 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.