NPI 1144269184
Shopko Stores Operating Co LLC
Practice location
- Address
- 13414 E Sprague Ave, Spokane Valley, WA 99216-0848
- Phone
- (509) 924-1744
- Fax
- (509) 924-9724
Authorised official
- Name
- Michael J Bettiga
- Title
- Sr. Vice President Health Services
- Phone
- (920) 429-4297
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1144269184
- Entity type
- Organization
- NPI issued
- 5 Jun 2006
- Record last updated
- 16 Dec 2008
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.