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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHOPKO STORES OPERATING CO LLC

Active Organization

SHOPKO STORES OPERATING CO LLC is a Long-Term Care Pharmacy organization located in IDAHO FALLS, Idaho. NPI 1255386975 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · IDAHO FALLS, ID

Registration Details

NPI Number
1255386975
Provider Type
Organization
NPI Issued
May 23, 2006 (20.225260752543 yrs)
Last Updated
Mar 21, 2014
Licenses
2040CP (ID)
2040CP (ID)

Practice Information

Address
800 E 17TH ST
IDAHO FALLS, ID, 834046151
Browse ID providers · Browse ZIP 83404
Phone
2085223572
Fax
2085223066
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Pharmacy
Additional Specialty
Eyewear Supplier
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in IDAHO FALLS, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.