Shopko Pharmacy 114 is a Durable Medical Equipment & Medical Supplies Store in Duluth, Minnesota. It is situated at 801 W Central Entrance, Duluth and its contact number is 218-727-7139. The authorized person of Shopko Pharmacy 114 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 114 is 2628082 (Community/Retail Pharmacy) in Minnesota. Shopko Pharmacy 114 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 114 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:
801 W Central Entrance, Duluth, Minnesota, 55811-5468
Phone:
218-727-7139
Fax:
218-727-6240
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 114 center are as mentioned below.
NPI Number:
1932153749
NPI Enumeration Date:
19 May, 2006
NPI Last Update On:
27 Aug, 2013
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
Eyewear Supplier (equipment, Not The Service)
1295788818
Shopko Stores Operating Co Llc
Durable Medical Equipment & Medical Supplies
1932153749
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 114 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
2628082
Minnesota
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
022715300
Medicaid
Minnesota
2421016
Other
Ncpdp Number
561447000
Medicaid
Minnesota
33194800
Medicaid
Wisconsin
375038800
Medicaid
Minnesota
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 114 801 W Central Entrance, Duluth, Minnesota
Zip:
55811-5468
Phone Number:
218-727-7139
Fax Number:
218-727-6240
Patients can reach Shopko Pharmacy 114 at 801 W Central Entrance, Duluth, Minnesota or can call to book an appointment on 218-727-7139. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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