Shopko Stores Operating Co LLC

NPI #1215980842 in Clare, Michigan

Provider Information

NPI Number
1215980842
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 17, 2006
Last Updated
Dec 15, 2015

Practice Location

Address
11250 N MISSION RD
City
Clare
ZIP Code
48617-9301
Phone
(989) 802-0354

Authorized Official

Name
MR. RUSSELL STEINHORST
Title
EVP AND CFO
Phone
(920) 429-7489

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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