OrganizationActive
Shopko Stores Operating Co LLC
NPI 1497794374 · Community/Retail Pharmacy · Newcastle, WY
Provider details
- NPI number
- 1497794374
- 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
205 Boyd Ave
Newcastle, WY 82701-2965
Phone: (307) 746-2741
Fax: (307) 746-9405
Approximate (ZIP-level) locationGet directions
Mailing address
205 Boyd Ave
Newcastle, WY 82701-2965
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 761
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2012-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.