Shopko Stores Operating Co LLC
NPI #1821441205 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1821441205
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 20, 2016
- Last Updated
- Dec 8, 2016
Practice Location
- Address
- 6355 MAIN ST
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805-8519
- Phone
- (920) 429-4726
Authorized Official
- Name
- LORIE NEUMANN
- Title
- DIRECTOR OF THIRD PARTY
- 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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