Type not stated
Screen this subjectShopko Pharmacy
Debarred entityUnited States. Named in 1 sanctions listing.
Summary
KMAP Provider Number 200969910A,B,F,G
Sanctions and listings1
- Effective
- 27 Jan 2022
Official designation
Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States
Terminated under a separate Medicaid enrollment.
Identifiers2
| Identifier | Number |
|---|---|
| NPI number | 1588845929 |
| NPI number | 1619155512 |
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