# ROUNDYS SUPERMARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COPPS FOOD CENTER PHARMACY \#8132
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528323391
- **Authorized official:** EDWARD KITZ (GROUP VP - LEGAL RISK & TREASURY)
- **Authorized official phone:** (414) 231-5000

## Contact information

- **Practice address:** 1500 PINECREST AVE, STEVENS POINT, WI 54481-4326
- **Practice address phone:** (715) 345-7175
- **Practice address fax:** (715) 345-1745
- **Mailing address:** PO BOX 473, MS-2870, MILWAUKEE, WI 53201-0473
- **Mailing address phone:** (414) 231-5523

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2012
- **Last updated:** 07/09/2012