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 1114971926

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

501 Highway 10 SE
Saint Cloud, MN 56304-1250
Phone: (320) 253-5373
Fax: (320) 253-4985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2628066 (MN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Eyewear Supplier Taxonomy 332H00000X

Record details

NPI number1114971926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Steinhorst — Svp Chief Financial Officer · (920) 429-7489
Other names Shopko Pharmacy 061
NPI enumeratedMay 19, 2006
Last updated in NPPESSeptember 14, 2016
Mailing address501 Highway 10 Se, Saint Cloud, MN 56304-1250

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