Shopko Pharmacy 040

Durable Medical Equipment & Medical Supplies


  
3025 Hamilton Blvd, Sioux City
Iowa, 51104-2407

 712-255-8055     712-255-4784Maps & Directions
Shopko Pharmacy 040 is a Durable Medical Equipment & Medical Supplies Store in Sioux City, Iowa. It is situated at 3025 Hamilton Blvd, Sioux City and its contact number is 712-255-8055. The authorized person of Shopko Pharmacy 040 is Mr. Micael 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 040 is 514 (Community/Retail Pharmacy) in Iowa.
Shopko Pharmacy 040 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 040 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:3025 Hamilton Blvd, Sioux City,
Iowa, 51104-2407
Phone:712-255-8055
Fax:712-255-4784
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. Micael 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 040 center are as mentioned below.
NPI Number: 1407807118
NPI Enumeration Date: 15 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) 1174576854
Shopko Stores Operating Co LlcDurable Medical Equipment & Medical Supplies 1407807118
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 040 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 514IowaPrimary
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
8531562MedicaidSouth Dakota
9164712MedicaidSouth Dakota
0495028MedicaidIowa
1613531OtherNcpdp Number
41098505408MedicaidNebraska
8531560MedicaidSouth Dakota
10025413500MedicaidNebraska
0208470MedicaidIowa
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 040
3025 Hamilton Blvd,
Sioux City, Iowa
Zip: 51104-2407
Phone Number: 712-255-8055
Fax Number: 712-255-4784
Patients can reach Shopko Pharmacy 040 at 3025 Hamilton Blvd, Sioux City, Iowa or can call to book an appointment on 712-255-8055. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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