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Shopko Stores Operating Co. Llc
Eyewear Supplier in Mitchell, South Dakota
NPI 1750334181

Shopko Stores Operating Co. Llc is a Eyewear Supplier based in Mitchell, SD. Shopko Stores Operating Co. Llc practices in Mitchell, SD. The NPI Number for Shopko Stores Operating Co. Llc is 1750334181 and holds a License No. (South Dakota).

The current practice location address for Shopko Stores Operating Co. Llc is 1900 N Main St, Mitchell, SD and can be reached out via phone at 605-996-7042.

Location: 1900 N Main St, Mitchell, SD, 57301-1160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750334181
Provider Name
Shopko Stores Operating Co. Llc
Credential
Provider Entity Type
Organization
Address
1900 N Main St, Mitchell, SD, 57301-1160
Phone Number
605-996-7042
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014022 01 VIP
213121-27 01 EYEMED
35517 01 AVESIS
17910 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
1900 N Main St
City
Mitchell
State
South Dakota
Zip
57301-1160
Phone Number
605-996-7042
Fax Number
person
Provider Business Mailing Address Details
Address
1900 N Main St
City
Mitchell
State
South Dakota
Zip
57301-1160
Phone Number
605-996-7042
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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