Shopko Stores Operating Co. LLC
NPI #1902859515 in Great Falls, Montana
Provider Information
- NPI Number
- 1902859515
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co. LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- May 18, 2006
- Last Updated
- Apr 24, 2008
Practice Location
- Address
- 301 NORTHWEST BYP
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59404-4125
- Phone
- (406) 727-9724
Authorized Official
- Name
- MICHAEL J BETTIGA, RPH
- Title
- SR. VICE PRESIDENT HEALTH SERVICES
- Phone
- (920) 429-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Optometrist |
| Eyewear Supplier |
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