Organization
SHOPKO STORES OPERATING CO LLC
Active
Other names
Shopko Pharmacy 732
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BETTIGA RPH (EXECUTIVE VICE PRESIDENT & COO)
(920) 429-4297
Entity
Organization
Contact information
Practice address
3225 10TH ST E, GLENCOE, MN 55336-3369
(320) 864-5026
(320) 864-5194
Mailing address
3225 10TH ST E, GLENCOE, MN 55336-3369
(320) 864-5026
(320) 864-5194
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
08/23/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us