Shopko Pharmacy 069 is a Durable Medical Equipment & Medical Supplies Store in Coeur D Alene, Idaho. It is situated at 217 W Ironwood Dr, Coeur D Alene and its contact number is 208-765-9586. The authorized person of Shopko Pharmacy 069 is Mr. Russell Steinhorst
who is Svp Chief Financial Officer of the store and their contact number is 920-429-7489. Other organizations associated with this store are Shopko Stores Operating Co Llc, Shopko Stores Operating Co. Llc, Primary license number for Shopko Pharmacy 069 is 2037CP (Community/Retail Pharmacy) in Idaho. Shopko Pharmacy 069 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 069 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:
217 W Ironwood Dr, Coeur D Alene, Idaho, 83814-2651
Phone:
208-765-9586
Fax:
208-765-6922
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. Russell Steinhorst
Position:
Svp Chief Financial Officer
Contact Number:
920-429-7489
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 069 center are as mentioned below.
NPI Number:
1164477881
NPI Enumeration Date:
23 May, 2006
NPI Last Update On:
10 Dec, 2015
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
Durable Medical Equipment & Medical Supplies
1164477881
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 069 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
2037CP
Idaho
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Eyewear Supplier (equipment, Not The Service)
Secondary
Pharmacy
2037CP
Idaho
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
1304613
Other
Ncpdp Number
000123200
Medicaid
Idaho
000123100
Medicaid
Idaho
0034347
Other
Wa Labor & Industry
0215806
Other
Wa Labor & Industry
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 069 217 W Ironwood Dr, Coeur D Alene, Idaho
Zip:
83814-2651
Phone Number:
208-765-9586
Fax Number:
208-765-6922
Patients can reach Shopko Pharmacy 069 at 217 W Ironwood Dr, Coeur D Alene, Idaho or can call to book an appointment on 208-765-9586. 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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