Shopko Stores Operating Co LLC

NPI #1780639906 in Rice Lake, Wisconsin

Provider Information

NPI Number
1780639906
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 24, 2006
Last Updated
Jun 12, 2017

Practice Location

Address
320 S ACCESS RD
ZIP Code
54868-8572
Phone
(715) 236-7414

Authorized Official

Name
MR. RUSSELL STEINHORST
Title
SVP CHIEF FINANCIAL OFFICER
Phone
(920) 429-7489

Specialties & Taxonomy Codes

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

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