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Organization

ROUNDYS SUPERMARKETS INC

Active
Other names
PICK N SAVE
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization

Contact information

Practice address
5800 S 108TH ST, HALES CORNERS, WI 53130-1912
(414) 525-0763
(414) 525-7180
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
8708042
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760533756
WI
01
2111014
PK
Enumeration date
01/16/2007
Last updated
09/19/2025
About Stedi
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  • Claims
  • Eligibility checks
  • EDI platform