Shopko Stores Operating Co. LLC
NPI #1396797486 in Union Gap, Washington
Provider Information
- NPI Number
- 1396797486
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co. LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- May 17, 2006
- Last Updated
- Jun 5, 2009
Practice Location
- Address
- 2530 RUDKIN RD
- City
- Union Gap
- State
- Washington
- ZIP Code
- 98903-1632
- Phone
- (509) 248-9833
Authorized Official
- Name
- MICHAEL J BETTIGA, RPH
- Title
- SR. VICE PRESIDENT HEALTH SERVICES
- Phone
- (920) 429-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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