Shopko Pharmacy 173 is not a DME supplier for medicare equipments and products.
Shopko Pharmacy 173 is a Community/Retail Pharmacy in East Peoria, Illinois. This pharmacy is owned and operated by Shopko Stores Operating Co. Llc. It is located at 105 N Main St, East Peoria and it's customer support contact number is 309-699-0632. The authorized person of Shopko Pharmacy 173 is Mr. Michael J Bettiga, RPH who is Sr. Vice President Health Services of the pharmacy and his contact number is 920-429-4297. Shopko Pharmacy 173 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 173 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 173
Type:
Community/Retail Pharmacy
Location:
105 N Main St, East Peoria, Illinois, 61611-2543
Phone:
309-699-0632
Fax:
309-694-6426
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:
1972539740
NPI Enumeration Date:
24 Jun, 2006
NPI Last Update On:
22 Aug, 2020
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 173 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
Illinois
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Community/Retail Pharmacy
Illinois
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
1472048
Other
Ncpdp Number
410985054173
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:
105 N Main St, East Peoria, Illinois
Zip:
61611-2543
Phone Number:
309-699-0632
Fax Number:
309-694-6426
Patients can reach Shopko Pharmacy 173 at 105 N Main St, East Peoria, Illinois or can call on customer care at 309-699-0632.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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