Whalio Doctors

NPI 1245281328

Shopko Stores Operating Co LLC

Organisation Community/Retail Pharmacy Ogden, UT

Practice location

Address
1018 Washington Blvd, Ogden, UT 84404-4949
Phone
(801) 392-5800
Fax
(801) 392-1018

Authorised official

Name
Michael J Bettiga
Title
Sr. Vice President Health Services
Phone
(920) 429-4297

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 1313711703 (UT)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1245281328
Entity type
Organization
NPI issued
13 May 2006
Record last updated
14 Aug 2008

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.