Shopko Stores Operating Co LLC
NPI #1649223249 in Manistique, Michigan
Provider Information
- NPI Number
- 1649223249
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 18, 2006
- Last Updated
- Dec 15, 2015
Practice Location
- Address
- 717 E LAKESHORE DR
- City
- Manistique
- State
- Michigan
- ZIP Code
- 49854-1682
- Phone
- (906) 341-3994
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 Pharmacy — Community/Retail Pharmacy |
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