Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
MARIANO'S PHARMACY #8535
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
9504 142ND STREET, ORLAND PARK, IL 60462
(708) 226-0027
(708) 226-0052
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
12/17/2015
Last updated
12/17/2015
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