Shopko Pharmacy 054 is a Durable Medical Equipment & Medical Supplies Store in Watertown, South Dakota. It is situated at 700 9th Ave Se, Watertown and its contact number is 605-882-2011. The authorized person of Shopko Pharmacy 054 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 054 is 1001907 (Community/Retail Pharmacy) in South Dakota. Shopko Pharmacy 054 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 054 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:
700 9th Ave Se, Watertown, South Dakota, 57201-5222
Phone:
605-882-2011
Fax:
605-886-6715
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 054 center are as mentioned below.
NPI Number:
1962453845
NPI Enumeration Date:
15 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)
1942253711
Shopko Stores Operating Co Llc
Durable Medical Equipment & Medical Supplies
1962453845
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 054 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1001907
South Dakota
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Eyewear Supplier (equipment, Not The Service)
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
8502832
Medicaid
South Dakota
8502830
Medicaid
South Dakota
4303880
Other
Ncpdp Number
979757200
Medicaid
Minnesota
9165520
Medicaid
South Dakota
260433000
Medicaid
Minnesota
9165522
Medicaid
South Dakota
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 054 700 9th Ave Se, Watertown, South Dakota
Zip:
57201-5222
Phone Number:
605-882-2011
Fax Number:
605-886-6715
Patients can reach Shopko Pharmacy 054 at 700 9th Ave Se, Watertown, South Dakota or can call to book an appointment on 605-882-2011. 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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