Shopko Stores Operating Co., LLC

Practice location

Address

100 County Road B, Shawano, WI 54166-7072

Phone

(920) 429-4726

Mailing address

100 County Road B STE W181, Shawano, WI 54166-7072

Authorised official

Name

Jannie Delane Paschal

Title

Vp Managed Care

Phone

(920) 429-4726

Registered specialties (3)

Registry record

NPI

1003349101

Entity type

Organization

NPI issued

5 Apr 2017

Record last updated

27 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.