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Organization
JEWEL FOOD STORES INC
Active
Organization
JEWEL FOOD STORES INC
Active
Other names
OSCO DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
N112 W 15800 MEQUON RD, GERMANTOWN, WI 53022
(262) 253-1526
(262) 253-2793
Mailing address
N112 W 15800 MEQUON RD, GERMANTOWN, WI 53022
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8076
WI
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33255800
—
WI
01
—
5126431
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/26/2006
Last updated
09/11/2025
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