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Shopko Stores Operating Co LLC — NPI 1962750158, Thayne, WY | NPI Central

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NPI 1962750158

OrganizationActive

Shopko Stores Operating Co LLC

NPI 1962750158 · Community/Retail Pharmacy · Thayne, WY

Provider details

NPI number: 1962750158
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Michael Bettiga, Executive Vice President & Coo(920) 429-4297

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

190 North Main

Thayne, WY 83127-1607

Phone: (307) 883-4600

Approximate (ZIP-level) locationGet directions

More WY providers

Mailing address

Po Box 1006

Thayne, WY 83127-1006

Other names (DBA / former)

Doing business as: Shopko Pharmacy 527

Registry dates

Enumerated: 2012-08-21
Last updated: 2012-08-21

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