Shopko Stores Operating Co LLC

NPI #1306397773 in Marinette, Wisconsin

Provider Information

NPI Number
1306397773
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 20, 2016
Last Updated
Apr 27, 2018

Practice Location

Address
2820 ROOSEVELT RD
ZIP Code
54143
Phone
(920) 429-4726

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 PharmacyCommunity/Retail Pharmacy

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