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 1124473533

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Mauston, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
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

406 Gateway Ave
Mauston, WI 53948-1401
Phone: (608) 350-0962
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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 number1124473533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorie Neumann — Director Of Third Party · (920) 429-4726
Other names Shopko Pharmacy 563
NPI enumeratedMay 4, 2016
Last updated in NPPESDecember 15, 2016
Mailing address406 Gateway Ave, Mauston, WI 53948-1401

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