Shopko Pharmacy 059

Durable Medical Equipment & Medical Supplies


  
1001 Highway 15 S, Fairmont
Minnesota, 56031-4456

 507-238-9488     507-238-9038Maps & Directions
Shopko Pharmacy 059 is a Durable Medical Equipment & Medical Supplies Store in Fairmont, Minnesota. It is situated at 1001 Highway 15 S, Fairmont and its contact number is 507-238-9488. The authorized person of Shopko Pharmacy 059 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 059 is 2628053 (Community/Retail Pharmacy) in Minnesota.
Shopko Pharmacy 059 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 059 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:1001 Highway 15 S, Fairmont,
Minnesota, 56031-4456
Phone:507-238-9488
Fax:507-238-9038
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 059 center are as mentioned below.
NPI Number: 1972557767
NPI Enumeration Date: 19 May, 2006
NPI Last Update On: 11 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) 1457304024
Shopko Stores Operating Co LlcDurable Medical Equipment & Medical Supplies 1972557767
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 059 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 2628053MinnesotaPrimary
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
1972557767MedicaidIowa
2416748OtherNcpdp Number
969857400MedicaidMinnesota
854687000MedicaidMinnesota
662688200MedicaidMinnesota
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 059
1001 Highway 15 S,
Fairmont, Minnesota
Zip: 56031-4456
Phone Number: 507-238-9488
Fax Number: 507-238-9038
Patients can reach Shopko Pharmacy 059 at 1001 Highway 15 S, Fairmont, Minnesota or can call to book an appointment on 507-238-9488. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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