Shopko Stores Operating Co LLC
NPI #1417304544 in Dell Rapids, South Dakota
Provider Information
- NPI Number
- 1417304544
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 18, 2016
- Last Updated
- Dec 1, 2016
Practice Location
- Address
- 1208 N. HIGHWAY 77
- City
- Dell Rapids
- State
- South Dakota
- ZIP Code
- 57022
- Phone
- (920) 429-4726
Authorized Official
- Name
- LORIE NEUMANN
- Title
- DIRECTOR OF THIRD PARTY
- 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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