Shopko Pharmacy 086 is a Durable Medical Equipment & Medical Supplies Store in Provo, Utah. It is situated at 2266 N University Pkwy, Provo and its contact number is 801-375-2000. The authorized person of Shopko Pharmacy 086 is Mr. Michael J Bettiga
who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297. Primary license number for Shopko Pharmacy 086 is 1313581703 (Community/Retail Pharmacy) in Utah. Shopko Pharmacy 086 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 086 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:
2266 N University Pkwy, Provo, Utah, 84604-1510
Phone:
801-375-2000
Fax:
801-373-7179
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 086 center are as mentioned below.
NPI Number:
1437100518
NPI Enumeration Date:
13 May, 2006
NPI Last Update On:
22 May, 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 Pharmacy 086 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1313581703
Utah
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
410985054067
Medicaid
Utah
4606729
Other
Ncpdp Number
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 086 2266 N University Pkwy, Provo, Utah
Zip:
84604-1510
Phone Number:
801-375-2000
Fax Number:
801-373-7179
Patients can reach Shopko Pharmacy 086 at 2266 N University Pkwy, Provo, Utah or can call to book an appointment on 801-375-2000. 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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