Shopko Stores Operating Co LLC

Practice location

Address

100 Evergreen Sq SW, Pine City, MN 55063-2000

Phone

(320) 629-3003

Fax

(320) 629-2987

Authorised official

Name

Michael Bettiga

Title

Executive Vice President & Coo

Phone

(920) 429-4297

Registered specialties (3)

Registry record

NPI

1003869025

Entity type

Organization

NPI issued

19 May 2006

Record last updated

31 Jul 2012

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.