Shopko Stores Operating Co LLC
NPI #1376886267 in Wautoma, Wisconsin
Provider Information
- NPI Number
- 1376886267
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Mar 29, 2013
- Last Updated
- Mar 29, 2013
Practice Location
Authorized Official
- Name
- MICHAEL BETTIGA, RPH
- Title
- EXECUTIVE VICE PRESIDENT AND COO
- Phone
- (920) 429-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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