Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shopko Stores Operating Co , LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1003349101

Shopko Stores Operating Co , LLC is a Durable Medical Equipment & Medical Supplies in Shawano, Wisconsin. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (920) 429-4726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1003349101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jannie Paschal — Vp Managed Care · (920) 429-4726
Other names Shopko Pharmacy 2215; Shopko Pharmacy 2215
NPI enumeratedApril 5, 2017
Last updated in NPPESApril 27, 2018
Mailing address100 County Road B Ste W181, Shawano, WI 54166-7072

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