Organization
SHOPKO PHARMACY
Active
Organization
SHOPKO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD EMMETT PHARMD (PHARMACY MANAGER)
(307) 864-3777
Entity
Organization
Contact information
Practice address
100 S 20TH ST, WORLAND, WY 82401-3742
(307) 347-2851
Mailing address
100 S 20TH ST, WORLAND, WY 82401-3742
(307) 347-2851
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3833
WY
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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