Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
PICK N SAVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD G KITZ (GVP-LEGAL/RISK/TREASURY)
(414) 231-5000
Entity
Organization
Contact information
Practice address
1901 63RD ST, KENOSHA, WI 53143-4467
(262) 653-0169
(262) 564-8840
Mailing address
PO BOX 473, MS 1300, MILWAUKEE, WI 53201-0473
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8663042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33289400
—
WI
01
—
5131266
NCPDP
—
Enumeration date
01/05/2007
Last updated
01/28/2010
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