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 1821042003

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Clintonville, Wisconsin. 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

291 S Main St
Clintonville, WI 54929-1604
Phone: (715) 823-2350
Fax: (715) 823-2541
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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 number1821042003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bettiga — Executive Vice President & Coo · (920) 429-4297
Other names Shopko Pharmacy 615
NPI enumeratedMay 20, 2006
Last updated in NPPESSeptember 24, 2012
Mailing address291 S Main St, Clintonville, WI 54929-1604

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