Shopko Pharmacy 079 is a Durable Medical Equipment & Medical Supplies Store in Wausau, Wisconsin. It is situated at 200 S 18th Ave, Wausau and its contact number is 715-842-7737. The authorized person of Shopko Pharmacy 079 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 079 is 8615042 (Community/Retail Pharmacy) in Wisconsin.
Shopko Pharmacy 079 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 079 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: | 200 S 18th Ave, Wausau, Wisconsin, 54401-4252 |
Phone: | 715-842-7737 |
Fax: | 715-848-8773 |
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 079 center are as mentioned below.
NPI Number: | 1215983663 |
NPI Enumeration Date: | 26 May, 2006 |
NPI Last Update On: | 11 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 | Durable Medical Equipment & Medical Supplies | 1215983663 |
Shopko Stores Operating Co. Llc | Eyewear Supplier (equipment, Not The Service) | 1386697092 |
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 079 are as mentioned below.
Specialization | License Number | State | Status | |
Community/Retail Pharmacy | 8615042 | 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 |
33158000 | Medicaid | Wisconsin | |
5119070 | Other | | Ncpdp |
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 079 200 S 18th Ave, Wausau, Wisconsin |
Zip: | 54401-4252 |
Phone Number: | 715-842-7737 |
Fax Number: | 715-848-8773 |
Patients can reach Shopko Pharmacy 079 at
200 S 18th Ave, Wausau, Wisconsin or can
call to book an appointment on 715-842-7737. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.