Shopko Stores Operating Co., LLC

NPI #1659744720 in Andrews, Texas

Provider Information

NPI Number
1659744720
Entity Type
Organization
Organization Name
Shopko Stores Operating Co., LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 11, 2015
Last Updated
Nov 11, 2015

Practice Location

Address
1203 N MAIN ST
State
Texas
ZIP Code
79714-3630
Phone
(432) 523-3302

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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