Shopko Stores Operating Co. LLC
NPI #1902859531 in Walla Walla, Washington
Provider Information
- NPI Number
- 1902859531
- 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
- 1600 W ROSE ST
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-1771
- Phone
- (509) 525-9301
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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