Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
PICK N SAVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
1717 N MAYFAIR RD, WAUWATOSA, WI 53226-3019
(414) 778-1884
(414) 778-1936
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8943-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255564993
—
WI
01
—
2121742
PK
—
Enumeration date
08/28/2009
Last updated
12/01/2016
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