Shopko Stores Operating Co Llc Valid NPI
Organization · Community/Retail Pharmacy · Chubbuck, ID
- NPI
- 1255378907
- Type
- Organization (Type 2)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- 2039CP (ID)
- Enumerated
- 2006-06-01
- Last updated
- 2014-06-06
Practice location
4215 Yellowstone Ave
Chubbuck, ID 83202-2419
(208) 237-6828