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Organization

ROUNDYS SUPERMARKETS INC

Active
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Organization

ROUNDYS SUPERMARKETS INC

Active
Other names
Pick N Save Pharmacy #406
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
(513) 762-1263
Entity
Organization

Contact information

Practice address
2806 SCHOFIELD AVE, SCHOFIELD, WI 54476-2431
(715) 359-3194
(715) 359-7459
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9497-42
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175916
PK
—
Enumeration date
02/12/2018
Last updated
09/19/2025
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