Shopko Stores Operating Co LLC

NPI #1982657045 in Glenwood, Minnesota

Provider Information

NPI Number
1982657045
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 18, 2006
Last Updated
Apr 30, 2018

Practice Location

Address
710 COUNTY ROAD 21 S
ZIP Code
56334-9145
Phone
(320) 634-4399

Authorized Official

Name
JANNIE DELANE PASCHAL
Title
VP
Phone
(920) 429-4726

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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