NPI 1033160312
Shopko Stores Operating Co LLC
Practice location
- Address
- 3400 N 27th St, Lincoln, NE 68521-1314
- Phone
- (402) 465-5588
- Fax
- (402) 465-0312
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
- 1033160312
- Entity type
- Organization
- NPI issued
- 12 May 2006
- Record last updated
- 27 Aug 2013
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.