Shopko Pharmacy 021

Durable Medical Equipment & Medical Supplies


  
1850 E Madison Ave, Mankato
Minnesota, 56001-5448

 507-387-6515     507-387-1680Maps & Directions
Shopko Pharmacy 021 is a Durable Medical Equipment & Medical Supplies Store in Mankato, Minnesota. It is situated at 1850 E Madison Ave, Mankato and its contact number is 507-387-6515. The authorized person of Shopko Pharmacy 021 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 021 is 2627973 (Community/Retail Pharmacy) in Minnesota.
Shopko Pharmacy 021 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 021 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:1850 E Madison Ave, Mankato,
Minnesota, 56001-5448
Phone:507-387-6515
Fax:507-387-1680
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 021 center are as mentioned below.
NPI Number: 1518910371
NPI Enumeration Date: 19 May, 2006
NPI Last Update On: 13 Mar, 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 1518910371
Shopko Stores Operating Co. LlcEyewear Supplier (equipment, Not The Service) 1639121601
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 021 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 2627973MinnesotaPrimary
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
808787300MedicaidMinnesota
2417144OtherNcpdp Number
234058500MedicaidMinnesota
077472000MedicaidMinnesota
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 021
1850 E Madison Ave,
Mankato, Minnesota
Zip: 56001-5448
Phone Number: 507-387-6515
Fax Number: 507-387-1680
Patients can reach Shopko Pharmacy 021 at 1850 E Madison Ave, Mankato, Minnesota or can call to book an appointment on 507-387-6515. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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