Shopko Pharmacy 125

Durable Medical Equipment & Medical Supplies


  
555 W South St, Freeport
Illinois, 61032-6792

 815-232-2724     815-232-2218Maps & Directions
Shopko Pharmacy 125 is a Durable Medical Equipment & Medical Supplies Store in Freeport, Illinois. It is situated at 555 W South St, Freeport and its contact number is 815-232-2724. The authorized person of Shopko Pharmacy 125 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 125 is 054015898 (Community/Retail Pharmacy) in Illinois.
Shopko Pharmacy 125 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 125 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:555 W South St, Freeport,
Illinois, 61032-6792
Phone:815-232-2724
Fax:815-232-2218
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 125 center are as mentioned below.
NPI Number: 1760418701
NPI Enumeration Date: 23 Jun, 2006
NPI Last Update On: 01 Apr, 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.
NameSpecializationNPI Number
Shopko Stores Operating Co LlcDurable Medical Equipment & Medical Supplies 1760418701
Shopko Stores Operating Co. LlcEyewear Supplier (equipment, Not The Service) 1811949803
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 125 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 054015898IllinoisPrimary
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.
IdentifierTypeStateIssuer
1465550OtherNcpdp Number
410985054125MedicaidIllinois
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 125
555 W South St,
Freeport, Illinois
Zip: 61032-6792
Phone Number: 815-232-2724
Fax Number: 815-232-2218
Patients can reach Shopko Pharmacy 125 at 555 W South St, Freeport, Illinois or can call to book an appointment on 815-232-2724. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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