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 1699089995

Shopko Stores Operating Co , LLC is a Durable Medical Equipment & Medical Supplies in Oelwein, Iowa. Licensed in Iowa. Registered with an NPI since 2010.

Licensed in
IA
In the registry since
2010
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

1345 S Frederick Ave
Oelwein, IA 50662-3060
Phone: (319) 283-2028
Fax: (319) 283-6653
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 (IA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1699089995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President & Coo · (920) 429-4297
Other names Shopko Pharmacy 669
NPI enumeratedJuly 29, 2010
Last updated in NPPESOctober 25, 2012
Mailing address1345 S Frederick Ave, Oelwein, IA 50662-3060

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