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

Shopko Stores Operating Co LLC

Organization Community/Retail Pharmacy · NPI 1659316107

Shopko Stores Operating Co LLC is a Community/Retail Pharmacy in Redding, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

55 Lake Blvd
Redding, CA 96003-2500
Phone: (530) 241-0713
Fax: (530) 241-1447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY47484 (CA)

Record details

NPI number1659316107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297
Other names Shopko Pharmacy 096
NPI enumeratedJune 18, 2006
Last updated in NPPESAugust 14, 2008
Mailing address55 Lake Blvd, Redding, CA 96003-2500

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