NPI 1306899174

Shopko Stores Operating Co. LLC

Organisation Eyewear Supplier Rapid City, SD

Practice location

Address: 1845 Haines Ave, Rapid City, SD 57701-0663
Phone: (605) 342-0354

Authorised official

Name: Michael J Bettiga
Title: Sr. Vice President Health Services
Phone: (920) 429-4297

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in South Dakota →

Registry record

NPI: 1306899174
Entity type: Organization
NPI issued: 19 May 2006
Record last updated: 11 Feb 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.