Shopko Pharmacy 084 is a Durable Medical Equipment & Medical Supplies Store in West Jordan, Utah. It is situated at 1553 W 9000 S, West Jordan and its contact number is 801-562-5400. The authorized person of Shopko Pharmacy 084 is Mr. Michael J Bettiga
who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297. Primary license number for Shopko Pharmacy 084 is 1313331703 (Community/Retail Pharmacy) in Utah. Shopko Pharmacy 084 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 084 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:
1553 W 9000 S, West Jordan, Utah, 84088-9219
Phone:
801-562-5400
Fax:
801-255-5669
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 084 center are as mentioned below.
NPI Number:
1669423737
NPI Enumeration Date:
13 May, 2006
NPI Last Update On:
05 Mar, 2014
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 084 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1313331703
Utah
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
410985054022
Medicaid
Utah
4606705
Other
Ncpdp 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 084 1553 W 9000 S, West Jordan, Utah
Zip:
84088-9219
Phone Number:
801-562-5400
Fax Number:
801-255-5669
Patients can reach Shopko Pharmacy 084 at 1553 W 9000 S, West Jordan, Utah or can call to book an appointment on 801-562-5400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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