Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in East Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
105 N Main StEast Peoria, IL 61611-2543
Phone: (309) 699-0632
Fax: (309) 694-6426
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Community/Retail Pharmacy | Taxonomy 3336C0003X (IL) |
Record details
| NPI number | 1972539740 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Bettiga — Sr. Vice President Health Services · (920) 429-4297 |
| Other names | Shopko Pharmacy 173 |
| NPI enumerated | June 24, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 105 N Main St, East Peoria, IL 61611-2543 |
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