Shopko Stores Operating Co LLC
NPI #1821545419 in Oldtown, Idaho
Provider Information
- NPI Number
- 1821545419
- Entity Type
- Organization
- Organization Name
- Shopko Stores Operating Co LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Sep 1, 2016
Practice Location
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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