SHOPKO STORES OPERATING CO LLC
502 E Ross St
Palmyra, MO 63461
573-769-1115
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 333600000X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 2635223 | OTHER |