Shopko Pharmacy 079 is a Durable Medical Equipment & Medical Supplies Store in Wausau, Wisconsin. It is situated at 200 S 18th Ave, Wausau and its contact number is 715-842-7737. The authorized person of Shopko Pharmacy 079 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 079 is 8615042 (Community/Retail Pharmacy) in Wisconsin. Shopko Pharmacy 079 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 079 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:
200 S 18th Ave, Wausau, Wisconsin, 54401-4252
Phone:
715-842-7737
Fax:
715-848-8773
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 079 center are as mentioned below.
NPI Number:
1215983663
NPI Enumeration Date:
26 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.
Name
Specialization
NPI Number
Shopko Stores Operating Co Llc
Durable Medical Equipment & Medical Supplies
1215983663
Shopko Stores Operating Co. Llc
Eyewear Supplier (equipment, Not The Service)
1386697092
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 079 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
8615042
Wisconsin
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Eyewear Supplier (equipment, Not The Service)
Secondary
Pharmacy
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
33158000
Medicaid
Wisconsin
5119070
Other
Ncpdp
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 079 200 S 18th Ave, Wausau, Wisconsin
Zip:
54401-4252
Phone Number:
715-842-7737
Fax Number:
715-848-8773
Patients can reach Shopko Pharmacy 079 at 200 S 18th Ave, Wausau, Wisconsin or can call to book an appointment on 715-842-7737. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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