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 1578811675

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Stanley, Wisconsin. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

409 Junction Ave
Stanley, WI 54768-8011
Phone: (715) 644-6168
Fax: (715) 644-5956
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 number1578811675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President & Coo · (920) 429-4297
Other names Shopko Pharmacy 790
NPI enumeratedAugust 21, 2012
Last updated in NPPESJanuary 25, 2013
Mailing address409 Junction Ave, Stanley, WI 54768-8011

Other providers in Stanley