Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NUTRITIONAL DESIGNS LLC
Active
Organization
NUTRITIONAL DESIGNS LLC
Active
Other names
NUTRITIONAL DESIGNS AND PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JODY MUNIZ (OWNER)
(262) 632-6500
Entity
Organization
Contact information
Practice address
5220 WASHINGTON AVE STE 101, RACINE, WI 53406-4228
(262) 632-6500
(262) 632-6505
Mailing address
5220 WASHINGTON AVE, SUITE 101, RACINE, WI 53406-4228
(262) 632-6500
(262) 632-6505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9184-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110287
PK
—
05
—
33281600
—
WI
Enumeration date
08/31/2006
Last updated
07/14/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers