Roundys Supermarkets Inc, NPI 1336476332
Community/Retail Pharmacy in Phillips, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1336476332
NPI Entity Type Organization
Provider Name Roundys Supermarkets Inc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 256 S Lake Ave, Phillips, WI, US
Provider Mailing Address Po Box 842772, Boston, MA, US, 022842772
Is Sole Proprietor? No
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Organization Official

Official Name Allison Bredestege
Official Position MANAGER OF PHARMACY LICENSING
Phone 513-762-1019

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 8969-42
License State WI
Description 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.

Other Organization Name

PICK N SAVE PHARMACY #8127
Doing Business As

Business Address

Roundys Supermarkets Inc
256 S Lake Ave

Phillips, WI, US

Phone: 715-339-3116
Fax: 715-339-3122

Mailing Address

Roundys Supermarkets Inc
Po Box 842772
Boston, MA, US
ZIP 022842772
Phone: 513-762-1019
Fax: 513-762-1092

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2122748 PK 01
1336476332 WI MEDICAID 05

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