NPI 1659744720
Shopko Stores Operating Co., LLC
Practice location
- Address
- 1203 N Main St, Andrews, TX 79714-3630
- Phone
- (432) 523-3302
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
- 1659744720
- Entity type
- Organization
- NPI issued
- 11 Nov 2015
- Record last updated
- 11 Nov 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.