Shopko Stores Operating Co., LLC
NPI #1801272182 in Prosser, Washington
Provider Information
- NPI Number
- 1801272182
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co., LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 10, 2015
- Last Updated
- Dec 23, 2015
Practice Location
- Address
- 471 WINE COUNTRY ROAD
- City
- Prosser
- State
- Washington
- ZIP Code
- 99350
- Phone
- (920) 429-4726
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 Pharmacy — Community/Retail Pharmacy |
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