Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shopko Stores Operating Co LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1306261326

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Quincy, Washington. Registered with an NPI since 2014.

In the registry since
2014
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

101 F St SW
Quincy, WA 98848-1213
Phone: (509) 787-4437
Fax: (509) 787-5012
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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 number1306261326
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vp & Coo · (920) 429-4297
Other names Shopko Pharmacy 794
NPI enumeratedFebruary 27, 2014
Last updated in NPPESMarch 7, 2023
Mailing address101 F St Sw, Quincy, WA 98848-1213

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