institution
Shopko Stores Operating Co. Llc
Eyewear Supplier in Rapid City, South Dakota
NPI 1306899174

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Rapid City, SD. Shopko Stores Operating Co. Llc practices in Rapid City, SD. The NPI Number for Shopko Stores Operating Co. Llc is 1306899174 and holds a License No. (South Dakota).

The current practice location address for Shopko Stores Operating Co. Llc is 1845 Haines Ave, Rapid City, SD and can be reached out via phone at 605-342-0354.

Location: 1845 Haines Ave, Rapid City, SD, 57701-0663
institution
Provider Profile Details
NPI Number
1306899174
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1845 Haines Ave, Rapid City, SD, 57701-0663
Phone Number
605-342-0354
Fax Number
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP2230-37 01 EYEMED
17914 01 MEDICARE
35518 01 AVESIS
014078 01 VIP
institution
Provider Business Practice Location Address Details
Address
1845 Haines Ave
City
State
Zip
57701-0663
Phone Number
605-342-0354
Fax Number
person
Provider Business Mailing Address Details
Address
1845 Haines Ave
City
State
Zip
57701-0663
Phone Number
605-342-0354
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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