Organization
SHOPKO STORES OPERATING CO LLC
Active
Other names
ShopKo Pharmacy 605
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BETTIGA RPH (EXECUTIVE VICE PRESIDENT AND COO)
(920) 429-4297
Entity
Organization
Contact information
Practice address
340 HIGHWAY 65 S, MORA, MN 55051-1619
(320) 679-5950
(320) 679-5956
Mailing address
340 HIGHWAY 65 S, MORA, MN 55051-1619
(320) 679-5950
(320) 679-5956
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263662
MN
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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