Shopko Pharmacy 004

Community/Retail Pharmacy Accepts Medicare


  
  2430 E Mason St, Green Bay
Wisconsin, 54302-3759

 920-468-6044    920-468-3490
Shopko Pharmacy 004 is a Community/Retail Pharmacy in Green Bay, Wisconsin. This pharmacy is owned and operated by Shopko Stores Operating Co Llc. It is located at 2430 E Mason St, Green Bay and it's customer support contact number is 920-468-6044. The authorized person of Shopko Pharmacy 004 is Mr. Michael J Bettiga, RPH who is Sr. Vice President Health Services of the pharmacy and his contact number is 920-429-4297. Active license number of Shopko Pharmacy 004 is 8636042 for Community/Retail Pharmacy in Wisconsin. Shopko Pharmacy 004 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Shopko Pharmacy 004 is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Pharmacy Details:
Shopko Pharmacy 004 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 Pharmacy 004
Type: Community/Retail Pharmacy
Location:2430 E Mason St, Green Bay,
Wisconsin, 54302-3759
Phone:920-468-6044
Fax:920-468-3490
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 J Bettiga
Credentials: RPH
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 of given pharmacy are as mentioned below.
NPI Number: 1003862442
NPI Enumeration Date: 26 May, 2006
NPI Last Update On: 14 Feb, 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 004 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 8636042WisconsinPrimary
Durable Medical Equipment & Medical Supplies Secondary
Eyewear Supplier (equipment, Not The Service) Secondary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
5103926OtherNcpdp Number
33119300MedicaidWisconsin
Medicare Enrollment:
Shopko Pharmacy 004 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
0749292639O20100930012321Shopko Stores Operating Co LlcDME SUPPLIER - PHARMACY
Products Available:
Shopko Pharmacy 004 has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Diabetic Shoes & Inserts: Prefabricated
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 2430 E Mason St,
    Green Bay, Wisconsin
    Zip: 54302-3759
    Phone Number: 920-468-6044
    Fax Number: 920-468-3490
    Patients can reach Shopko Pharmacy 004 at 2430 E Mason St, Green Bay, Wisconsin or can call on customer care at 920-468-6044.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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