OrganizationActive
Shopko Stores Operating Co LLC
NPI 1033158944 · Community/Retail Pharmacy · Rawlins, WY
Provider details
- NPI number
- 1033158944
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Bettiga, Executive Vice President and Coo(920) 429-4297
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
2100 E Cedar St
Rawlins, WY 82301-6029
Phone: (307) 324-5276
Fax: (307) 324-5277
Approximate (ZIP-level) locationGet directions
Mailing address
2100 E Cedar St
Rawlins, WY 82301-6029
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 754
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2012-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.