NPI 1003855057

Shopko Stores Operating Co LLC

Organisation Community/Retail Pharmacy Spokane, WA

Practice location

Address: 9520 N Newport Hwy, Spokane, WA 99218-1219
Phone: (509) 466-7414
Fax: (509) 466-0546

Authorised official

Name: Michael J Bettiga
Title: Sr. Vice President Health Services
Phone: (920) 429-4297

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence CF00058644 (WA)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Eyewear Supplier

Suppliers Taxonomy 332H00000X

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Registry record

NPI: 1003855057
Entity type: Organization
NPI issued: 5 Jun 2006
Record last updated: 28 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.