Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
MARIANOS PHARMACY #8536
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KITZ (GROUP VP - LEGAL RISK & TREASURY)
(414) 231-5000
Entity
Organization
Contact information
Practice address
150 W 63RD ST, WESTMONT, IL 60559
(630) 964-4654
(630) 964-5056
Mailing address
PO BOX 473, MS-2870, MILWAUKEE, WI 53201-0473
(414) 231-6153
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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