Shopko Stores Operating Co LLC

NPI #1912933813 in Monmouth, Illinois

Provider Information

NPI Number
1912933813
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 23, 2006
Last Updated
Dec 23, 2016

Practice Location

Address
1190 N 6TH ST
ZIP Code
61462-9672
Phone
(309) 734-7579

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 - Community/Retail PharmacyCommunity/Retail Pharmacy

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