SHOPKO STORES OPERATING CO LLC

Pharmacy - Community/Retail Pharmacy

Active Organization
NPI: 1790711737

Practice Address

3030 WABASH AVE
Springfield, IL 62704

Phone: (217) 698-9614

Specialties

Specialty Code Primary License
Durable Medical Equipment & Medical Supplies 332B00000X No -
Pharmacy - Community/Retail Pharmacy 3336C0003X Yes 054015896 (IL)

Frequently Asked Questions

NPI 1790711737 is the National Provider Identifier for SHOPKO STORES OPERATING CO LLC, a Pharmacy - Community/Retail Pharmacy provider located in Springfield, IL. This NPI was enumerated on June 23, 2006.

Quick Facts

NPI
1790711737
Type
Organization
Enumerated
Jun 23, 2006
Last Updated
Aug 14, 2008

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