Shopko Stores Operating Co LLC

Practice location

Address

1080 Hwy 414, Mountain View, WY 82939-0219

Phone

(307) 787-7922

Fax

(307) 782-7924

Mailing address

PO Box 219, Mountain View, WY 82939-0219

Authorised official

Name

Michael Bettiga

Title

Executive Vice President and Coo

Phone

(920) 429-4297

Registered specialties (3)

Registry record

NPI

1093983132

Entity type

Organization

NPI issued

12 Feb 2008

Record last updated

27 Dec 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.