Shopko Pharmacy 033 is a Durable Medical Equipment & Medical Supplies Store in Menasha, Wisconsin. It is situated at 1578 Appleton Rd, Menasha and its contact number is 920-722-1895. The authorized person of Shopko Pharmacy 033 is Mr. Michael J Bettiga
who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297. Primary license number for Shopko Pharmacy 033 is 8628042 (Community/Retail Pharmacy) in Wisconsin. Shopko Pharmacy 033 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 033 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:
1578 Appleton Rd, Menasha, Wisconsin, 54952-1104
Phone:
920-722-1895
Fax:
920-722-3195
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 033 center are as mentioned below.
NPI Number:
1508812959
NPI Enumeration Date:
26 May, 2006
NPI Last Update On:
16 Apr, 2014
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 033 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
8628042
Wisconsin
Primary
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.
Identifier
Type
State
Issuer
33031600
Medicaid
Wisconsin
5115779
Other
Ncpdp Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Shopko Pharmacy 033 at 1578 Appleton Rd, Menasha, Wisconsin or can call to book an appointment on 920-722-1895. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.