Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
METRO MARKET PHARMACY #8102, PICK N SAVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ANDREWS (MANAGER RX LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
2538 IRONWOOD DR, SUN PRAIRIE, WI 53590-8820
(608) 837-2867
(608) 825-8561
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8729042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016564
—
WI
01
—
2111022
PK
—
Enumeration date
04/25/2007
Last updated
08/16/2021
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