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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

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