Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
MARIANO'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KITZ (GROUP VP - LEGAL RISK & TREASU)
(414) 231-5000
Entity
Organization
Contact information
Practice address
678 N YORK ST, ELMHURST, IL 60126-1605
(630) 782-0031
(630) 782-0048
Mailing address
PO BOX 473, MS-2870, MILWAUKEE, WI 53201-0473
(414) 231-5523
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054-018203
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140081
PK
—
Enumeration date
04/25/2013
Last updated
09/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us