SHOPKO STORES OPERATING CO. LLC

Eyewear Supplier

Active Organization
NPI: 1104879808

Practice Address

1771 WISCONSIN AVE
Grafton, WI 53024

Phone: (262) 375-0505

Specialties

Specialty Code Primary License
Eyewear Supplier 332H00000X Yes -

Frequently Asked Questions

NPI 1104879808 is the National Provider Identifier for SHOPKO STORES OPERATING CO. LLC, a Eyewear Supplier provider located in Grafton, WI. This NPI was enumerated on May 17, 2006.

Quick Facts

NPI
1104879808
Type
Organization
Enumerated
May 17, 2006
Last Updated
Feb 11, 2008

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