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 1215980842

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

Licensed in
MI
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

11250 N Mission Rd
Clare, MI 48617-9301
Phone: (989) 802-0354
Fax: (989) 802-0355
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 5301008381 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1215980842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Steinhorst — Evp And Cfo · (920) 429-7489
Other names Shopko Pharmacy 2644
NPI enumeratedMay 17, 2006
Last updated in NPPESDecember 15, 2015
Mailing address11250 N Mission Rd, Clare, MI 48617-9301

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