Shopko Pharmacy 058 is a Durable Medical Equipment & Medical Supplies Store in Worthington, Minnesota. It is situated at 1755 N Humiston Ave, Worthington and its contact number is 507-376-9309. The authorized person of Shopko Pharmacy 058 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 058 is 2628040 (Community/Retail Pharmacy) in Minnesota. Shopko Pharmacy 058 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 058 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:
1755 N Humiston Ave, Worthington, Minnesota, 56187-1757
Phone:
507-376-9309
Fax:
507-372-7840
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 058 center are as mentioned below.
NPI Number:
1063466852
NPI Enumeration Date:
19 May, 2006
NPI Last Update On:
21 Jan, 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.
Name
Specialization
NPI Number
Shopko Stores Operating Co Llc
Durable Medical Equipment & Medical Supplies
1063466852
Shopko Stores Operating Co. Llc
Eyewear Supplier (equipment, Not The Service)
1871545996
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 058 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
2628040
Minnesota
Primary
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.
Identifier
Type
State
Issuer
060258200
Medicaid
Minnesota
0509463
Medicaid
Iowa
788690100
Medicaid
Minnesota
166523500
Medicaid
Minnesota
2416801
Other
Ncpdp Number
0722512
Medicaid
Iowa
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 058 1755 N Humiston Ave, Worthington, Minnesota
Zip:
56187-1757
Phone Number:
507-376-9309
Fax Number:
507-372-7840
Patients can reach Shopko Pharmacy 058 at 1755 N Humiston Ave, Worthington, Minnesota or can call to book an appointment on 507-376-9309. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.