Whalio Doctors

NPI 1629452776

Shopko Stores Operating Co., LLC

Organisation Community/Retail Pharmacy Orofino, ID

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
Suppliers Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

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.