NPI 1164477881

Shopko Stores Operating Co LLC

Organisation Community/Retail Pharmacy Coeur D Alene, ID

Practice location

Address: 217 W Ironwood Dr, Coeur D Alene, ID 83814-2651
Phone: (208) 765-9586
Fax: (208) 765-6922

Authorised official

Name: Russell Steinhorst
Title: Svp Chief Financial Officer
Phone: (920) 429-7489

Registered specialties (4)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 2037CP (ID)

Other Pharmacy providers in Idaho →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Eyewear Supplier

Suppliers Taxonomy 332H00000X

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Pharmacy

Suppliers Taxonomy 333600000X Licence 2037CP (ID)

Registry record

NPI: 1164477881
Entity type: Organization
NPI issued: 23 May 2006
Record last updated: 10 Dec 2015

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.