Organization · Type 2 NPI

Shopko Stores Operating Co. LLC

Durable Medical Equipment & Medical Supplies · East Peoria, IL

NPI number 1972539740 Active

Practice location

105 N Main St
East Peoria, IL 61611-2543

Call (309) 699-0632 Map

Fax (309) 694-6426

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed
Community/Retail Pharmacy 3336C0003XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1972539740

Shopko Stores Operating Co. LLC's National Provider Identifier is 1972539740, issued on Jun 24, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in East Peoria, IL. The record was last updated on Sep 11, 2025.