Shopko Pharmacy 014 is a Durable Medical Equipment & Medical Supplies Store in Beaver Dam, Wisconsin. It is situated at 822 Park Ave, Beaver Dam and its contact number is 920-887-7461. The authorized person of Shopko Pharmacy 014 is Mr. Michael J Bettiga
who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297. Other organizations associated with this store are Shopko Stores Operating Co. Llc, Shopko Stores Operating Co Llc, Primary license number for Shopko Pharmacy 014 is 8633042 (Community/Retail Pharmacy) in Wisconsin. Shopko Pharmacy 014 is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Complete Center Profile:
Shopko Pharmacy 014 Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
Specialization:
Durable Medical Equipment & Medical Supplies
Address:
822 Park Ave, Beaver Dam, Wisconsin, 53916-2266
Phone:
920-887-7461
Fax:
920-887-0725
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Michael J Bettiga
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 for Shopko Pharmacy 014 center are as mentioned below.
NPI Number:
1902852353
NPI Enumeration Date:
26 May, 2006
NPI Last Update On:
06 Jun, 2014
Other Associated Organizations:
Other organizations which are associated with this store are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Shopko Stores Operating Co. Llc
Eyewear Supplier (equipment, Not The Service)
1396797411
Shopko Stores Operating Co Llc
Durable Medical Equipment & Medical Supplies
1902852353
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 Pharmacy 014 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
8633042
Wisconsin
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Eyewear Supplier (equipment, Not The Service)
Secondary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5105247
Other
Ncpdp Number
33133600
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shopko Pharmacy 014 822 Park Ave, Beaver Dam, Wisconsin
Zip:
53916-2266
Phone Number:
920-887-7461
Fax Number:
920-887-0725
Patients can reach Shopko Pharmacy 014 at 822 Park Ave, Beaver Dam, Wisconsin or can call to book an appointment on 920-887-7461. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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