OrganizationActive
Shopko Stores Operating Co LLC
NPI 1891971719 · Community/Retail Pharmacy · Afton, WY
Provider details
- NPI number
- 1891971719
- 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
679 S. Washington Street
Afton, WY 83110-9811
Phone: (307) 885-9804
Fax: (307) 885-9804
Approximate (ZIP-level) locationGet directions
Mailing address
679 S. Washington Street
Afton, WY 83110-9811
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 526
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2013-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.