OrganizationActive
Shopko Stores Operating Co LLC
NPI 1093983132 · Community/Retail Pharmacy · Mountain View, WY
Provider details
- NPI number
- 1093983132
- 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
1080 Hwy 414
Mountain View, WY 82939-0219
Phone: (307) 787-7922
Fax: (307) 782-7924
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 219
Mountain View, WY 82939-0219
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 765
Registry dates
- Enumerated
- 2008-02-12
- 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.