SHOPKO STORES OPERATING CO LLC
2001 E 9th St
Trenton, MO 64683
660-359-2970
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | ||
Y | 3336C0003X | Suppliers - Pharmacy | 2006008229 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DME SUPPLIER | 5694490041 | MO | OTHER |
NCPDP | 2630918 | OTHER |