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 1447203799

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in East Grand Forks, Minnesota. Registered with an NPI since 2006.

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

421 Gateway Dr NE
East Grand Forks, MN 56721-1619
Phone: (218) 773-0940
Fax: (218) 773-1049
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 number1447203799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President & Coo · (920) 429-4297
Other names Shopko Pharmacy 742
NPI enumeratedMay 18, 2006
Last updated in NPPESOctober 9, 2012
Mailing address421 Gateway Dr Ne, East Grand Forks, MN 56721-1619

Other providers in East Grand Forks