NPI 1629452776
Shopko Stores Operating Co., LLC
Practice location
- Address
- 429 Michigan Ave, Orofino, ID 83544-0000
- Phone
- (208) 476-5727
Authorised official
- Name
- Lorie Neumann
- Title
- Dir 3d Party Contract & Ca
- Phone
- (920) 429-4726
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1629452776
- Entity type
- Organization
- NPI issued
- 17 Jul 2015
- Record last updated
- 11 Oct 2016
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.