| Organization Name: | PAMIDA STORES OPERATING CO. LLC |
| NPI Number: | 1124065875 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL E ROTHAMEL (CEO/PRESIDENT) |
| Mailing Address: | 8 S Main St Clintonville |
| State: | WI US |
| Postal Code: | 549291565 |
| Phone Number: | 7158232106 |
| Fax Number: | 7158231322 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 04/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |