Shopko Pharmacy 031

Durable Medical Equipment & Medical Supplies


  
5300 52nd St, Kenosha
Wisconsin, 53144-2310

 262-658-8137     262-658-8261Maps & Directions
Shopko Pharmacy 031 is a Durable Medical Equipment & Medical Supplies Store in Kenosha, Wisconsin. It is situated at 5300 52nd St, Kenosha and its contact number is 262-658-8137. The authorized person of Shopko Pharmacy 031 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 031 is 8596042 (Community/Retail Pharmacy) in Wisconsin.
Shopko Pharmacy 031 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 031 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:5300 52nd St, Kenosha,
Wisconsin, 53144-2310
Phone:262-658-8137
Fax:262-658-8261
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 031 center are as mentioned below.
NPI Number: 1326094772
NPI Enumeration Date: 26 May, 2006
NPI Last Update On: 11 Dec, 2013

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) 1083667638
Shopko Stores Operating Co LlcDurable Medical Equipment & Medical Supplies 1326094772
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 031 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 8596042WisconsinPrimary
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
33026400MedicaidWisconsin
5115337OtherNcpdp 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 031
5300 52nd St,
Kenosha, Wisconsin
Zip: 53144-2310
Phone Number: 262-658-8137
Fax Number: 262-658-8261
Patients can reach Shopko Pharmacy 031 at 5300 52nd St, Kenosha, Wisconsin or can call to book an appointment on 262-658-8137. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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