OrganizationActive
Shopko Stores Operating Co LLC
NPI 1588845929 · Community/Retail Pharmacy · Lyons, KS
Provider details
- NPI number
- 1588845929
- 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
1212 W Main
Lyons, KS 67554
Phone: (620) 257-2821
Fax: (620) 257-2207
Approximate (ZIP-level) locationGet directions
Mailing address
1212 W Main St
Lyons, KS 67554-2428
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 701
Registry dates
- Enumerated
- 2007-11-14
- Last updated
- 2013-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.