Shopko Stores Operating Co Llc Valid NPI
Organization · Community/Retail Pharmacy · Lewiston, ID
- NPI
- 1144275884
- Type
- Organization (Type 2)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- 2036CP (ID)
- Enumerated
- 2006-05-23
- Last updated
- 2014-06-06
Practice location
2120 Thain Grade
Lewiston, ID 83501-4105
(208) 746-1044