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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 JACKSONVILLE, Illinois. NPI 1912933961 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · JACKSONVILLE, IL

Registration Details

NPI Number
1912933961
Provider Type
Organization
NPI Issued
Jun 23, 2006 (19.958279272662 yrs)
Last Updated
May 22, 2014
License
054015893 (IL)

Practice Information

Address
1964 W MORTON AVE
JACKSONVILLE, IL, 626502621
Browse IL providers · Browse ZIP 62650
Phone
2172456259
Fax
2172439251
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Eyewear Supplier
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in JACKSONVILLE, 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.