Shopko Stores Operating Co., LLC

Practice location

Address

N2934 State Road 22, Wautoma, WI 54982-5267

Phone

(920) 429-4726

Authorised official

Name

Lorie Neumann

Title

Contracting and Cred

Phone

(920) 429-4726

Registered specialties (3)

Registry record

NPI

1255864963

Entity type

Organization

NPI issued

10 Apr 2017

Record last updated

10 Apr 2017

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.