Organization
SHOPKO STORES OPERATING CO LLC
Active
Other names
SHOPKO PHARMACY 794
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BETTIGA RPH (EXECUTIVE VP & COO)
(920) 429-4297
Entity
Organization
Contact information
Practice address
101 F ST SW, QUINCY, WA 98848-1213
(509) 787-4437
(509) 787-5012
Mailing address
101 F ST SW, QUINCY, WA 98848-1213
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF60451750
STATE LICENSE
WA
Enumeration date
02/27/2014
Last updated
03/07/2023
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