Shopko Institutional Care Services Co Llc
Long Term Care Pharmacy
2704 Industrial Drive, Monona
Wisconsin, 53713-4806
608-223-0054 608-223-0225
Shopko Institutional Care Services Co Llc is a Long Term Care Pharmacy in Monona, Wisconsin. It is located at 2704 Industrial Drive, Monona and it's customer support contact number is 608-223-0054. The authorized person of Shopko Institutional Care Services Co Llc is Mr. Michael Bettiga, RPH who is Executive Vice President And Coo of the pharmacy and his contact number is 920-429-4297. Active license number of Shopko Institutional Care Services Co Llc is 9042042 for Long Term Care Pharmacy in Wisconsin.
Shopko Institutional Care Services Co Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Shopko Institutional Care Services Co Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Shopko Institutional Care Services Co Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 2704 Industrial Drive, Monona,
Wisconsin, 53713-4806 |
| Phone: | 608-223-0054 |
| Fax: | 608-223-0225 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Michael Bettiga |
| Credentials: | RPH |
| Position: | Executive Vice President And Coo |
| 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 of given pharmacy are as mentioned below.
| NPI Number: | 1770893968 |
| NPI Enumeration Date: | 21 Oct, 2010 |
| NPI Last Update On: | 17 Oct, 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 Institutional Care Services Co Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 9042042 | Wisconsin | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1770893968 | Medicaid | Wisconsin | |
| 203940171001 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2704 Industrial Drive,
Monona, Wisconsin |
| Zip: | 53713-4806 |
| Phone Number: | 608-223-0054 |
| Fax Number: | 608-223-0225 |
Patients can reach Shopko Institutional Care Services Co Llc at
2704 Industrial Drive, Monona, Wisconsin or can
call on customer care at 608-223-0054.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.