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 1083896716

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Jackson, Minnesota. Registered with an NPI since 2007.

In the registry since
2007
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

506 2nd St
Jackson, MN 56143
Phone: (507) 847-2480
Fax: (507) 847-2480
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 number1083896716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Excutive Vice President & Coo · (920) 429-4297
Other names Shopko Pharmacy 777
NPI enumeratedDecember 5, 2007
Last updated in NPPESJuly 31, 2012
Mailing address506 2nd St, Jackson, MN 56143

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