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Shopko Stores Operating Co LLC — NPI 1124067095, Powell, WY | NPI Central

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OrganizationActive

Shopko Stores Operating Co LLC

NPI 1124067095 · Community/Retail Pharmacy · Powell, WY

Provider details

NPI number: 1124067095
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Michael Bettiga, Executive Vice President & Coo

Practice location

1005 W Coulter Ave

Powell, WY 82435-2530

Phone: (307) 754-2755

Fax: (307) 754-7915

More WY providers

Mailing address

1005 W Coulter Ave

Powell, WY 82435-2530

Registry dates

Enumerated: 2006-06-06
Last updated: 2012-10-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.