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 1184895336

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Lake City, Michigan. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1960 S Morey Rd
Lake City, MI 49651
Phone: (231) 839-7207
Fax: (231) 839-4142
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 number1184895336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President & Coo · (920) 429-4297
Other names Shopko Pharmacy 514
NPI enumeratedMarch 17, 2008
Last updated in NPPESFebruary 15, 2013
Mailing addressPo Box 399, 1960 South Morey Road, Lake City, MI 49651