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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 SPRINGFIELD, Illinois. NPI 1790711737 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · SPRINGFIELD, IL

Registration Details

NPI Number
1790711737
Provider Type
Organization
NPI Issued
Jun 23, 2006 (20.152665832737 yrs)
Last Updated
Aug 14, 2008
License
054015896 (IL)

Practice Information

Address
3030 WABASH AVE
SPRINGFIELD, IL, 627046413
Browse IL providers · Browse ZIP 62704
Phone
2176989614
Fax
2175461761
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in SPRINGFIELD, IL

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.