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 1356505408

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Green Bay, Wisconsin. 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.

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Practice location Address checks out

300 N Broadway
Green Bay, WI 54303
Phone: (920) 430-1505
Fax: (920) 430-1773
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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 number1356505408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Pharmacy 506
NPI enumeratedJuly 17, 2008
Last updated in NPPESJanuary 5, 2009
Mailing address300 N Broadway, Green Bay, WI 54303-2753

Other providers in Green Bay