NPI 1821041641
Shopko Stores Operating Co LLC
Practice location
- Address
- 100 Washington St, Livingston, MT 59047-4200
- Phone
- (406) 222-7082
- Fax
- (406) 222-7086
Authorised official
- Name
- Michael Bettiga
- Title
- Executive Vice President & Coo
- Phone
- (920) 429-4297
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1821041641
- Entity type
- Organization
- NPI issued
- 19 May 2006
- Record last updated
- 20 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.