NPI 1457302028

Shopko Stores Operating Co LLC

Organisation Community/Retail Pharmacy Mitchell, SD

Practice location

Address: 1900 N Main St, Mitchell, SD 57301-1160
Phone: (605) 996-6568
Fax: (605) 996-6627

Authorised official

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

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 1001905 (SD)

Other Pharmacy providers in South Dakota →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Eyewear Supplier

Suppliers Taxonomy 332H00000X

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Registry record

NPI: 1457302028
Entity type: Organization
NPI issued: 16 May 2006
Record last updated: 6 Jun 2014

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.