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 1780885228

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Green River, Wyoming. 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

1105 Bridger Dr
Green River, WY 82935-5895
Phone: (307) 875-4904
Fax: (307) 875-0192
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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 number1780885228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President And Coo · (920) 429-4297
Other names Shopko Pharmacy 760
NPI enumeratedMay 31, 2007
Last updated in NPPESJanuary 25, 2013
Mailing address1105 Bridger Dr, Green River, WY 82935-5895

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