Organization
SHOPKO STORES OPERATING CO LLC
Active
Organization
SHOPKO STORES OPERATING CO LLC
Active
Other names
SHOPKO PHARMACY 201
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE NEUMANN (DIRECTOR OF THIRD PARTY)
(920) 429-4726
Entity
Organization
Contact information
Practice address
3402 MAIN ST, EMMETSBURG, IA 50536-1515
(920) 429-4726
Mailing address
3402 MAIN ST, EMMETSBURG, IA 50536-1515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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