Shopko Stores Operating Co LLC
NPI #1174941231 in Mount Carmel, Illinois
Provider Information
- NPI Number
- 1174941231
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 4, 2014
- Last Updated
- Sep 4, 2015
Practice Location
- Address
- 1520 W 9TH ST
- City
- Mount Carmel
- State
- Illinois
- ZIP Code
- 62863-2909
- Phone
- (618) 262-2475
Authorized Official
- Name
- LORIE NEUMANN
- Title
- VP RETAIL HEALTH SERVICES
- 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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