Roundys Supermarkets INC
NPI #1164745162 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1164745162
- Entity Type
- Organization
- Organization Name
- Roundys Supermarkets INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 4, 2010
- Last Updated
- Dec 1, 2016
Practice Location
- Address
- 17630 W BLUEMOUND RD
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-2908
- Phone
- (262) 784-2490
Authorized Official
- Name
- ALLISON BREDESTEGE
- Title
- MANAGER OF PHARMACY LICENSING
- Phone
- (513) 762-1019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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