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 1073884458

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Saint Peter, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
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

1002 Old Minnesota Ave
Saint Peter, MN 56082-2023
Phone: (507) 931-4410
Fax: (507) 931-5434
Show map & directions

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 number1073884458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President And Coo · (920) 429-4297
Other names Shopko Pharmacy 611
NPI enumeratedJanuary 18, 2012
Last updated in NPPESNovember 18, 2013
Mailing address1002 Old Minnesota Ave, Saint Peter, MN 56082-2023

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