Shopko Stores Operating Co., LLC

NPI #1366828642 in Tremonton, Utah

Provider Information

NPI Number
1366828642
Entity Type
Organization
Organization Name
Shopko Stores Operating Co., LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 10, 2015
Last Updated
Dec 23, 2015

Practice Location

Address
440 W MAIN ST
State
Utah
ZIP Code
84337
Phone
(920) 429-4726

Authorized Official

Name
LORIE NEUMANN
Title
DIR 3D PARTY CONTRACT & CA
Phone
(920) 429-4726

Specialties & Taxonomy Codes

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

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