OrganizationActive
Shopko Stores Operating Co LLC
NPI 1114113511 · Community/Retail Pharmacy · Greybull, WY
Provider details
- NPI number
- 1114113511
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Bettiga, Executive Vice President & Coo(920) 429-4297
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
925 N 6th Street
Greybull, WY 82426
Phone: (307) 765-4601
Fax: (307) 765-4600
Approximate (ZIP-level) locationGet directions
Mailing address
925 N 6th St
Greybull, WY 82426
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 776
Registry dates
- Enumerated
- 2007-09-19
- Last updated
- 2012-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.