NPI 1588818702

Shopko Stores Operating Co LLC

Organisation Community/Retail Pharmacy Lander, WY

Practice location

Address: 1255 West Main Street, Lander, WY 82520-2653
Phone: (307) 332-5712
Fax: (307) 332-5722
Mailing address: PO Box 1007, Lander, WY 82520-1007

Authorised official

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

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X

Other Pharmacy providers in Wyoming →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1588818702
Entity type: Organization
NPI issued: 14 Nov 2008
Record last updated: 18 Dec 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.