Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
METRO MARKET 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
6010 COTTAGE GROVE RD, MADISON, WI 53718-1300
(608) 223-0951
(608) 223-0976
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
9263-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145752
PK
—
Enumeration date
05/14/2014
Last updated
04/22/2025
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