NPI 1376842286

Shopko Stores Operating Co LLC

Organisation Community/Retail Pharmacy Princeton, MN

Practice location

Address: 705 Northland Dr, Princeton, MN 55371-2168
Phone: (763) 389-3111
Fax: (763) 389-1621
Mailing address: 700 Pilgrim Way PO Box 19060, Green Bay, WI 54304-5263

Authorised official

Name: Michael Bettiga
Title: Executive Vp & Coo
Phone: (920) 429-4297

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 263663 (MN)

Other Pharmacy providers in Minnesota →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Minnesota →

Pharmacy

Suppliers Taxonomy 333600000X Licence 263663 (MN)

Registry record

NPI: 1376842286
Entity type: Organization
NPI issued: 17 Mar 2011
Record last updated: 9 Dec 2011

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.