<Unavail>

LBN: Roundys Supermarkets Inc
<Unavail> is an health care organization with primary practice located at 1735 W Silver Spring Dr , Glendale WI 53209-4400. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Roundys Supermarkets Inc can be contacted via phone (414) 247-8581, or through Bredestege, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
1735 W Silver Spring Dr Glendale WI 53209-4400
Phone: (414) 247-8581
Fax: (414) 247-8603
Website:
Map and Directions
Authorized official contact:
Name: Bredestege, Allison
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8712042 Wisconsin

Profile Details

NPI number 1003966326
LBN Legal business name Roundys Supermarkets Inc
DBA Doing business as <Unavail>
Authorized official Bredestege, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Dec 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003966326 NPPES
Other 2111010 PK
MEDICAID 1003966326 PK

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