Shopko Stores Operating Co LLC

NPI #1841745155 in Gordon, Nebraska

Provider Information

NPI Number
1841745155
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 17, 2016
Last Updated
Oct 14, 2016

Practice Location

Address
301 E US HIGHWAY 20
City
Gordon
ZIP Code
69343-1650
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 PharmacyCommunity/Retail Pharmacy

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