Shopko Pharmacy 097 is a Durable Medical Equipment & Medical Supplies Store in West Valley City, Utah. It is situated at 4850 W 3500 S, West Valley City and its contact number is 801-966-6500. The authorized person of Shopko Pharmacy 097 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 097 is 1320601703 (Community/Retail Pharmacy) in Utah. Shopko Pharmacy 097 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 097 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:
4850 W 3500 S, West Valley City, Utah, 84120-2927
Phone:
801-966-6500
Fax:
801-966-8805
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 097 center are as mentioned below.
NPI Number:
1194776179
NPI Enumeration Date:
13 May, 2006
NPI Last Update On:
27 Aug, 2013
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 097 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1320601703
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
410985054151
Medicaid
Utah
4606945
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 097 4850 W 3500 S, West Valley City, Utah
Zip:
84120-2927
Phone Number:
801-966-6500
Fax Number:
801-966-8805
Patients can reach Shopko Pharmacy 097 at 4850 W 3500 S, West Valley City, Utah or can call to book an appointment on 801-966-6500. 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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