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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 Eyewear Supplier organization located in BOISE, Idaho. NPI 1477505485 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · BOISE, ID

Registration Details

NPI Number
1477505485
Provider Type
Organization
NPI Issued
May 17, 2006 (20.264199433145 yrs)
Last Updated
Aug 3, 2009

Practice Information

Address
2655 BROADWAY AVE
BOISE, ID, 837064721
Browse ID providers · Browse ZIP 83706
Phone
2083458812
Primary Specialty
Eyewear Supplier
332H00000X
Additional Specialty
Eyewear Supplier

Other Eyewear Supplier Organizations in BOISE, 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.