NPI 1023069309
Shopko Stores Operating Co LLC
Practice location
- Address
- 6845 S 27th St, Lincoln, NE 68512-4823
- Phone
- (402) 420-1199
- Fax
- (402) 420-2926
Authorised official
- Name
- Michael J Bettiga
- Title
- Sr. Vice President Health Services
- Phone
- (920) 429-4297
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Eyewear Supplier
Registry record
- NPI
- 1023069309
- Entity type
- Organization
- NPI issued
- 12 May 2006
- Record last updated
- 6 Jun 2014
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.