Shopko Stores Operating Co. LLC

NPI #1396797544 in Lincoln, Nebraska

Provider Information

NPI Number
1396797544
Entity Type
Organization
Organization Name
Shopko Stores Operating Co. LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
May 16, 2006
Last Updated
Feb 11, 2008

Practice Location

Address
4200 S 27TH ST
ZIP Code
68502-5858
Phone
(402) 421-2555

Authorized Official

Name
MICHAEL J BETTIGA, RPH
Title
SR. VICE PRESIDENT HEALTH SERVICES
Phone
(920) 429-4297

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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