Mariano'S Pharmacy

LBN: Roundys Supermarkets Inc
Mariano'S Pharmacy is an health care organization with primary practice located at 625 S Main St , Wheaton IL 60187-5240. 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 (630) 690-6474, or through Kitz, Edward via phone (414) 231-5000.

Contact Information

Primary practice address
625 S Main St Wheaton IL 60187-5240
Phone: (630) 690-6474
Fax: (630) 690-6567
Website:
Map and Directions
Authorized official contact:
Name: Kitz, Edward
Phone: (414) 231-5000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054.018304 Illinois

Profile Details

NPI number 1154758837
LBN Legal business name Roundys Supermarkets Inc
DBA Doing business as Mariano'S Pharmacy
Authorized official Kitz, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2013
Last updated Aug 18th, 2014 - about 12 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 1154758837 NPPES
Other 2142284 PK

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