Shopko Pharmacy 134 is a Durable Medical Equipment & Medical Supplies Store in Pullman, Washington. It is situated at 1450 S Grand Ave, Pullman and its contact number is 509-332-0503. The authorized person of Shopko Pharmacy 134 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 134 is CF00058645 (Community/Retail Pharmacy) in Washington. Shopko Pharmacy 134 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 134 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:
1450 S Grand Ave, Pullman, Washington, 99163-4900
Phone:
509-332-0503
Fax:
509-332-0233
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 134 center are as mentioned below.
NPI Number:
1912946963
NPI Enumeration Date:
05 Jun, 2006
NPI Last Update On:
06 Jun, 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 134 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
CF00058645
Washington
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
0215812
Other
Wa Labor & Industry
4925179
Other
Ncpdp Number
0006018527
Medicaid
Washington
0107798
Other
Wa Labor & Industry
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 134 1450 S Grand Ave, Pullman, Washington
Zip:
99163-4900
Phone Number:
509-332-0503
Fax Number:
509-332-0233
Patients can reach Shopko Pharmacy 134 at 1450 S Grand Ave, Pullman, Washington or can call to book an appointment on 509-332-0503. 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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