Shopko Stores Operating Co LLC

Practice location

Address

1005 W Coulter Ave, Powell, WY 82435-2530

Phone

(307) 754-2755

Fax

(307) 754-7915

Authorised official

Name

Michael Bettiga

Title

Executive Vice President & Coo

Phone

(920) 429-4297

Registered specialties (3)

Registry record

NPI

1124067095

Entity type

Organization

NPI issued

6 Jun 2006

Record last updated

19 Oct 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.