Shopko Stores Operating Co LLC

Practice location

Address

205 Boyd Ave, Newcastle, WY 82701-2965

Phone

(307) 746-2741

Fax

(307) 746-9405

Authorised official

Name

Michael Bettiga

Title

Executive Vice President & Coo

Phone

(920) 429-4297

Registered specialties (3)

Registry record

NPI

1497794374

Entity type

Organization

NPI issued

6 Jun 2006

Record last updated

2 Nov 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.