Shopko Pharmacy 142 is a Durable Medical Equipment & Medical Supplies Store in Fort Madison, Iowa. It is situated at 4810 Avenue O, Fort Madison and its contact number is 319-372-8629. The authorized person of Shopko Pharmacy 142 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 142 is 1040 (Community/Retail Pharmacy) in Iowa. Shopko Pharmacy 142 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 142 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:
4810 Avenue O, Fort Madison, Iowa, 52627-9677
Phone:
319-372-8629
Fax:
319-372-8698
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 142 center are as mentioned below.
NPI Number:
1699726588
NPI Enumeration Date:
15 May, 2006
NPI Last Update On:
25 Jul, 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
Eyewear Supplier (equipment, Not The Service)
1629021480
Shopko Stores Operating Co Llc
Durable Medical Equipment & Medical Supplies
1699726588
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 142 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1040
Iowa
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
1619266
Other
Ncpdp Number
371110040142
Medicaid
Illinois
0154160255
Medicaid
Missouri
0438168
Medicaid
Iowa
0495093
Medicaid
Iowa
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 142 4810 Avenue O, Fort Madison, Iowa
Zip:
52627-9677
Phone Number:
319-372-8629
Fax Number:
319-372-8698
Patients can reach Shopko Pharmacy 142 at 4810 Avenue O, Fort Madison, Iowa or can call to book an appointment on 319-372-8629. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.