Shopko Stores Operating Co LLC

Practice location

Address

129 Harmony St, Buffalo, WY 82834-2463

Phone

(307) 684-4540

Fax

(307) 684-2220

Authorised official

Name

Michael Bettiga

Title

Executive Vice President and Coo

Phone

(920) 429-4297

Registered specialties (3)

Registry record

NPI

1780936963

Entity type

Organization

NPI issued

11 Oct 2012

Record last updated

12 Feb 2013

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.