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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Aitkin, MN · enumerated 2006 · authorized official Michael Bettiga, Executive Vice President & Coo.

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

National Provider Identifier

1689628356

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 190 Southgate Dr, Aitkin, MN, 56431
Phone (218) 927-2466
Fax (218) 927-2597
Enumeration date May 19, 2006
Last updated in NPPES Oct 5, 2012

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 262790-2 (MN) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
209860100 Medicaid MN -
777133000 Medicaid MN -
2420482 Other - NDPDP

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 Aitkin, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-10-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-05.