Shopko Stores Operating Co., LLC
NPI #1003349101 in Shawano, Wisconsin
Provider Information
- NPI Number
- 1003349101
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co., LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 5, 2017
- Last Updated
- Apr 27, 2018
Practice Location
Authorized Official
- Name
- JANNIE DELANE PASCHAL
- Title
- VP MANAGED CARE
- Phone
- (920) 429-4726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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