Organization
SHOPKO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSIE BAWEK RPH (PHARMACIST)
(608) 323-8134
Entity
Organization
Contact information
Practice address
1625 E BLASCHKO AVE, ARCADIA, WI 54612-1835
(608) 323-8134
(608) 323-8434
Mailing address
1625 E BLASCHKO AVE, ARCADIA, WI 54612-1835
(608) 323-8134
(608) 323-8434
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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