Shopko Pharmacy 041

Durable Medical Equipment & Medical Supplies


  
1209 18th Ave Nw, Austin
Minnesota, 55912-1881

 507-437-7616     507-437-8565Maps & Directions
Shopko Pharmacy 041 is a Durable Medical Equipment & Medical Supplies Store in Austin, Minnesota. It is situated at 1209 18th Ave Nw, Austin and its contact number is 507-437-7616. The authorized person of Shopko Pharmacy 041 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 041 is 2628024 (Community/Retail Pharmacy) in Minnesota.
Shopko Pharmacy 041 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 041 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:1209 18th Ave Nw, Austin,
Minnesota, 55912-1881
Phone:507-437-7616
Fax:507-437-8565
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 041 center are as mentioned below.
NPI Number: 1265486039
NPI Enumeration Date: 19 May, 2006
NPI Last Update On: 27 Aug, 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 LlcDurable Medical Equipment & Medical Supplies 1265486039
Shopko Stores Operating Co. LlcEyewear Supplier (equipment, Not The Service) 1558314104
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 041 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 2628024MinnesotaPrimary
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
126023500MedicaidMinnesota
608057000MedicaidMinnesota
2416116OtherNcpdp Number
840020000MedicaidMinnesota
0578674MedicaidIowa
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 041
1209 18th Ave Nw,
Austin, Minnesota
Zip: 55912-1881
Phone Number: 507-437-7616
Fax Number: 507-437-8565
Patients can reach Shopko Pharmacy 041 at 1209 18th Ave Nw, Austin, Minnesota or can call to book an appointment on 507-437-7616. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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