Shopko Stores Operating Co LLC

NPI #1508819392 in Tecumseh, Michigan

Provider Information

NPI Number
1508819392
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 19, 2006
Last Updated
Dec 14, 2015

Practice Location

Address
2655 W CHICAGO BLVD
ZIP Code
49286
Phone
(517) 423-4420

Authorized Official

Name
MR. RUSSELL STEINHORST
Title
SVP AND COO
Phone
(920) 429-7489

Specialties & Taxonomy Codes

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

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