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 1386825248

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Doniphan, Missouri. Registered with an NPI since 2007.

In the registry since
2007
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

111 Leroux Dr
Doniphan, MO 63935
Phone: (573) 996-2311
Fax: (573) 996-7415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1386825248
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShopko Pharmacy 706
Authorized official Michael Bettiga — Excutive Vice President & Coo · (920) 429-4297
Other names Shopko Pharmacy 706
NPI enumeratedNovember 20, 2007
Last updated in NPPESMay 23, 2012
Mailing address111 Leroux Dr, Doniphan, MO 63935

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