Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
PICK N SAVE PHARMACY #185
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER OF PHARMACY LICENSING)
(513) 762-1019
Entity
Organization
Contact information
Practice address
3300 CALUMET AVE, MANITOWOC, WI 54220
(920) 682-3051
(920) 682-4485
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
8842042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851550628
—
WI
01
—
2111114
PK
—
Enumeration date
06/05/2008
Last updated
09/05/2018
Update your record
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