Shopko Stores Operating Co Llc is an authorized DME supplier for medicare equipments and products.
Shopko Stores Operating Co Llc is a Community/Retail Pharmacy in Pullman, Washington. It is located at 1450 S Grand Ave, Pullman and it's customer support contact number is 509-332-0503. The authorized person of Shopko Stores Operating Co Llc is Mr. Michael J Bettiga, RPH who is Sr. Vice President Health Services of the pharmacy and his contact number is 920-429-4297. Active license number of Shopko Stores Operating Co Llc is CF00058645 for Community/Retail Pharmacy in Washington. Shopko Stores Operating Co Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Shopko Stores Operating Co Llc is 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.
Pharmacy Details:
Shopko Stores Operating Co Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Shopko Stores Operating Co Llc
Type:
Community/Retail Pharmacy
Location:
1450 S Grand Ave, Pullman, Washington, 99163-4900
Phone:
509-332-0503
Fax:
509-332-0233
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Michael J Bettiga
Credentials:
RPH
Position:
Sr. Vice President Health Services
Contact Number:
920-429-4297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1912946963
NPI Enumeration Date:
05 Jun, 2006
NPI Last Update On:
06 Jun, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shopko Stores Operating Co Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
CF00058645
Washington
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Eyewear Supplier (equipment, Not The Service)
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0215812
Other
Wa Labor & Industry
4925179
Other
Ncpdp Number
0006018527
Medicaid
Washington
0107798
Other
Wa Labor & Industry
Medicare Enrollment:
Shopko Stores Operating Co Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
0749292639
O20100930056204
Shopko Stores Operating Co Llc
DME SUPPLIER - PHARMACY
Products Available:
Shopko Stores Operating Co Llc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Diabetic Shoes & Inserts: Custom Fabricated
Diabetic Shoes & Inserts: Prefabricated
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1450 S Grand Ave, Pullman, Washington
Zip:
99163-4900
Phone Number:
509-332-0503
Fax Number:
509-332-0233
Patients can reach Shopko Stores Operating Co Llc at 1450 S Grand Ave, Pullman, Washington or can call on customer care at 509-332-0503.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Pullman, Washington
Northwest Pharmacy Services Inc Address: 825 Se Bishop Blvd Ste 301b, Pullman, WA Phone: 509-334-6506 Fax: 509-334-4776Washington State University Speciality:Clinic Pharmacy Address: 1125 Se Washington Street, Pullman, WA Phone: 509-335-5742 Fax: 509-335-5745Walmart Inc. Address: 1690 Se Harvest Dr, Pullman, WA Phone: 509-334-2981 Fax: 509-334-2983Thrifty Payless Inc Address: 1630 South Grand Avenue, Pullman, WA Phone: 509-334-7222 Professional Mall Pharmacy Inc Address: 825 Se Bishop Blvd, Ste 301, Pullman, WA Phone: 509-332-4608 Fax: 509-332-3341Northwest Pharmacy Services Inc Address: 825 Se Bishop Blvd, Ste 301, Pullman, WA Phone: 509-332-4608 Fax: 509-332-3341