Shopko Stores Operating Co LLC

NPI #1588848295 in Kalkaska, Michigan

Provider Information

NPI Number
1588848295
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 18, 2007
Last Updated
Dec 15, 2015

Practice Location

Address
748 S CEDAR ST STE E
ZIP Code
49646-8434
Phone
(231) 258-0139

Authorized Official

Name
MR. RUSSELL STEINHORST
Title
EVP AND CFO
Phone
(920) 429-7489

Specialties & Taxonomy Codes

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

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