SHOPKO STORES OPERATING CO. LLC
955 Bailey Hill Rd
Eugene, OR 97402
541-686-0849
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | OR | 1085 |
X | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP NUMBER | 3809968 | OTHER | |
002373 | OR | MEDICAID |