Shopko Pharmacy 091 is a Durable Medical Equipment & Medical Supplies Store in Logan, Utah. It is situated at 1341 N Main St, Logan and its contact number is 435-753-2700. The authorized person of Shopko Pharmacy 091 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 091 is 1318501703 (Community/Retail Pharmacy) in Utah. Shopko Pharmacy 091 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 091 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:
1341 N Main St, Logan, Utah, 84341-2221
Phone:
435-753-2700
Fax:
435-753-3894
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 091 center are as mentioned below.
NPI Number:
1750332730
NPI Enumeration Date:
13 May, 2006
NPI Last Update On:
06 Jun, 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 091 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1318501703
Utah
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Eyewear Supplier (equipment, Not The Service)
Secondary
Pharmacy
1318501703
Utah
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
4606894
Other
Ncpdp Number
804040900
Medicaid
Idaho
8533280
Medicaid
South Dakota
410985054604
Medicaid
Utah
PH246UT
Medicaid
Alaska
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 091 1341 N Main St, Logan, Utah
Zip:
84341-2221
Phone Number:
435-753-2700
Fax Number:
435-753-3894
Patients can reach Shopko Pharmacy 091 at 1341 N Main St, Logan, Utah or can call to book an appointment on 435-753-2700. 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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