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Shopko Stores Operating Co Llc
Eyewear Supplier in Sussex, Wisconsin
NPI 1316108376

Shopko Stores Operating Co Llc is a Eyewear Supplier based in Sussex, WI. Shopko Stores Operating Co Llc practices in Sussex, WI. The NPI Number for Shopko Stores Operating Co Llc is 1316108376 and holds a License No. (Wisconsin).

The current practice location address for Shopko Stores Operating Co Llc is N66 W25201 Cth V V, Sussex, WI and can be reached out via phone at 262-820-2611.

Location: N66 W25201 Cth V V, Sussex, WI, 53089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316108376
Provider Name
Shopko Stores Operating Co Llc
Credential
Provider Entity Type
Organization
Address
N66 W25201 Cth V V, Sussex, WI, 53089
Phone Number
262-820-2611
Fax Number
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38461500 05 WI
institution
Provider Business Practice Location Address Details
Address
N66 W25201 Cth V V
City
Sussex
State
Wisconsin
Zip
53089
Phone Number
262-820-2611
Fax Number
person
Provider Business Mailing Address Details
Address
N66 W25201 Cth V V
City
Sussex
State
Wisconsin
Zip
53089
Phone Number
262-820-2611
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
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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