Shopko Pharmacy 001

Durable Medical Equipment & Medical Supplies


  
216 S Military Ave, Green Bay
Wisconsin, 54303-2498

 920-499-0895     920-494-3410Maps & Directions
Shopko Pharmacy 001 is a Durable Medical Equipment & Medical Supplies Store in Green Bay, Wisconsin. It is situated at 216 S Military Ave, Green Bay and its contact number is 920-499-0895. The authorized person of Shopko Pharmacy 001 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 001 is 8614042 (Community/Retail Pharmacy) in Wisconsin.
Shopko Pharmacy 001 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 001 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:216 S Military Ave, Green Bay,
Wisconsin, 54303-2498
Phone:920-499-0895
Fax:920-494-3410
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 001 center are as mentioned below.
NPI Number: 1982659140
NPI Enumeration Date: 24 May, 2006
NPI Last Update On: 06 Jun, 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. LlcEyewear Supplier (equipment, Not The Service) 1346292430
Shopko Stores Operating Co LlcDurable Medical Equipment & Medical Supplies 1982659140
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 001 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 8614042WisconsinPrimary
Durable Medical Equipment & Medical Supplies Secondary
Eyewear Supplier (equipment, Not The Service) Secondary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
33136200MedicaidWisconsin
5103508OtherNcpdp 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 001
216 S Military Ave,
Green Bay, Wisconsin
Zip: 54303-2498
Phone Number: 920-499-0895
Fax Number: 920-494-3410
Patients can reach Shopko Pharmacy 001 at 216 S Military Ave, Green Bay, Wisconsin or can call to book an appointment on 920-499-0895. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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