NPI 1245281328
Shopko Stores Operating Co LLC
Practice location
- Address
- 1018 Washington Blvd, Ogden, UT 84404-4949
- Phone
- (801) 392-5800
- Fax
- (801) 392-1018
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
- 1245281328
- Entity type
- Organization
- NPI issued
- 13 May 2006
- Record last updated
- 14 Aug 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.