Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
PICK N SAVE PHARMACY, METRO MARKET PHARMACY #6887
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ANDREWS (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
4279 S 76TH ST, GREENFIELD, WI 53220-2804
(414) 541-3836
(414) 541-3951
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
9079-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568750545
—
WI
01
—
2131082
PK
—
Enumeration date
07/12/2011
Last updated
08/16/2021
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