Shopko Stores Operating Co LLC

NPI #1740736586 in Delta, Utah

Provider Information

NPI Number
1740736586
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 31, 2016
Last Updated
Nov 15, 2016

Practice Location

Address
94 NORTH 400 EAST
City
Delta
State
Utah
ZIP Code
84624
Phone
(920) 429-4726

Authorized Official

Name
LORIE NEUMANN
Title
DIRECTOR OF THIRD PARTY
Phone
92044294726

Specialties & Taxonomy Codes

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

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