Shopko Pharmacy 111 is a Durable Medical Equipment & Medical Supplies Store in Salem, Oregon. It is situated at 1230 Lancaster Dr Se, Salem and its contact number is 503-371-6830. The authorized person of Shopko Pharmacy 111 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 111 is 1193 (Community/Retail Pharmacy) in Oregon. Shopko Pharmacy 111 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 111 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:
1230 Lancaster Dr Se, Salem, Oregon, 97317-5800
Phone:
503-371-6830
Fax:
503-371-8159
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 111 center are as mentioned below.
NPI Number:
1639121155
NPI Enumeration Date:
16 May, 2006
NPI Last Update On:
06 Apr, 2016
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
1639121155
Shopko Stores Operating Co Llc
Eyewear Supplier (equipment, Not The Service)
1790736023
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 111 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1193
Oregon
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
3810721
Other
Ncpdp Number
278347
Medicaid
Oregon
038658
Medicaid
Oregon
278380
Medicaid
Oregon
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 111 1230 Lancaster Dr Se, Salem, Oregon
Zip:
97317-5800
Phone Number:
503-371-6830
Fax Number:
503-371-8159
Patients can reach Shopko Pharmacy 111 at 1230 Lancaster Dr Se, Salem, Oregon or can call to book an appointment on 503-371-6830. 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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