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Organization
JEWEL FOOD STORES INC
Active
Organization
JEWEL FOOD STORES INC
Active
Other names
JEWEL OSCO
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
2355 N 35TH ST, MILWAUKEE, WI 53210-3033
(414) 447-8117
(414) 447-8365
Mailing address
2355 N 35TH ST, MILWAUKEE, WI 53210-3033
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8057
WI
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33254000
—
WI
01
—
5126277
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/26/2006
Last updated
09/11/2025
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