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SHOPKO PHARMACY 604
NPI 1144529058
Pharmacy - Community/Retail Pharmacy in Abbotsford, WI

Active since March 17, 2011
1011 E SPRUCE ST, ABBOTSFORD, WI 54405(715) 223-2480(715) 223-2663 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 604 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO PHARMACY 604 (NPI 1144529058) is a healthcare organization registered as a community/retail pharmacy in Abbotsford, Wisconsin and active in the NPI registry since March 2011. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1144529058
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1011 E SPRUCE STAbbotsford, WI 54405-9647
Mailing Address1011 E Spruce StAbbotsford, WI 54405-9647 · (715) 223-2480 · Fax (715) 223-2663
Phone(715) 223-2480
Fax(715) 223-2663
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMarch 17, 2011
Last NPPES UpdateMay 31, 2011
✔ NPI 1144529058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 9064-42
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
1011 E SPRUCE ST, Abbotsford, WI 54405
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Other Names 1

Doing Business AsShopko Pharmacy 604

Other Identifiers 1

Medicaid1144529058WI

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALPINE MEDICAL EQUIPMENT LLC
Durable Medical Equipment & Medical Supplies
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 316-0056
PAMIDA STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 223-2480
MR. DAVID JOSEPH WUNROW RPH
Pharmacist
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 223-4494
LISA PETRACK PHARMD
Pharmacist
1011 E SPRUCE ST
ABBOTSFORD, WI 54405
Marathon County (715) 223-4494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shopko Stores Operating Co LLC's NPI number?

The NPI number for Shopko Stores Operating Co LLC is 1144529058. It was assigned to this organization in the NPPES registry on March 17, 2011. The provider is doing business as Shopko Pharmacy 604.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1011 E Spruce St, Abbotsford, WI 54405. The listed phone number is (715) 223-2480.

What is Shopko Stores Operating Co LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co LLC was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.