Shopko Stores Operating Co., LLC
NPI #1255864963 in Wautoma, Wisconsin
Provider Information
- NPI Number
- 1255864963
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co., LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 10, 2017
- Last Updated
- Apr 10, 2017
Practice Location
Authorized Official
- Name
- LORIE NEUMANN
- Title
- CONTRACTING AND CRED
- 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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