OrganizationActive
Shopko Stores Operating Co LLC
NPI 1508042425 · Community/Retail Pharmacy · Thayne, WY
Provider details
- NPI number
- 1508042425
- 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
190 North Main
Thayne, WY 83127
Phone: (307) 883-4600
Fax: (307) 883-4603
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1450
Minneapolis, MN 55485-5891
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 527
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2012-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.