# ROUNDYS SUPERMARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PICK N SAVE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083762348
- **Authorized official:** ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
- **Authorized official phone:** (513) 762-1019

## Contact information

- **Practice address:** 15170 W GREENFIELD AVE, BROOKFIELD, WI 53005-7018
- **Practice address phone:** (262) 782-2787
- **Practice address fax:** (262) 785-7942
- **Mailing address:** PO BOX 842772, BOSTON, MA 02284-2772
- **Mailing address phone:** (513) 762-1019
- **Mailing address fax:** (513) 762-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8545042 | WI | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 12/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1083762348 | — | WI |
| 01 | — | 2110851 | PK | — |