Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
PICK N SAVE PHARMACY #53400472, PICK N SAVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WARMAN (MANAGER RX LICENSING)
(513) 762-1090
Entity
Organization
Contact information
Practice address
55 W PIONEER RD, FOND DU LAC, WI 54935-6151
(920) 923-7780
(920) 926-7666
Mailing address
PO BOX 842772, BOSTON, MA 02284-2772
(513) 762-1019
(513) 762-1092
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8760042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972796340
—
WI
01
—
2111052
PK
—
Enumeration date
08/20/2007
Last updated
12/17/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us