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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Saint Peter, MN · enumerated 2012 · authorized official Michael Bettiga, Executive Vice President and Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073884458

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 1002 Old Minnesota Ave, Saint Peter, MN, 56082
Phone (507) 931-4410
Fax (507) 931-5434
Enumeration date Jan 18, 2012
Last updated in NPPES Nov 18, 2013

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Michael Bettiga
Title Executive Vice President and Coo
Phone (920) 429-4297

Other identifiers

Identifier Type State Issuer
1073884458 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Shopko Stores Operating Co LLC located?
The practice location on file with NPPES is in Saint Peter, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-11-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-18.