Shopko Pharmacy 068

Durable Medical Equipment & Medical Supplies


  
800 E 17th St, Idaho Falls
Idaho, 83404-6151

 208-522-3572     208-522-3066Maps & Directions
Shopko Pharmacy 068 is a Durable Medical Equipment & Medical Supplies Store in Idaho Falls, Idaho. It is situated at 800 E 17th St, Idaho Falls and its contact number is 208-522-3572. The authorized person of Shopko Pharmacy 068 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 068 is 2040CP (Community/Retail Pharmacy) in Idaho.
Shopko Pharmacy 068 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 068 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:800 E 17th St, Idaho Falls,
Idaho, 83404-6151
Phone:208-522-3572
Fax:208-522-3066
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 068 center are as mentioned below.
NPI Number: 1255386975
NPI Enumeration Date: 23 May, 2006
NPI Last Update On: 21 Mar, 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 LlcDurable Medical Equipment & Medical Supplies 1255386975
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 068 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 2040CPIdahoPrimary
Durable Medical Equipment & Medical Supplies Secondary
Eyewear Supplier (equipment, Not The Service) Secondary
Pharmacy 2040CPIdahoSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
000311500MedicaidIdaho
1304512OtherNcpdp Number
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 068
800 E 17th St,
Idaho Falls, Idaho
Zip: 83404-6151
Phone Number: 208-522-3572
Fax Number: 208-522-3066
Patients can reach Shopko Pharmacy 068 at 800 E 17th St, Idaho Falls, Idaho or can call to book an appointment on 208-522-3572. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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