Shopko #602
NPI #1265878110 in Oconto, Wisconsin
Provider Information
- NPI Number
- 1265878110
- Entity Type
- Organization
- Organization Name
- Shopko #602
- Primary Specialty
- Pharmacy
- Enumeration Date
- May 20, 2013
- Last Updated
- May 20, 2013
Practice Location
Authorized Official
- Name
- MR. NICK JACKSON JR., R.PH.
- Title
- PHARMACY MANAGER
- Phone
- (920) 834-5251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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