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Contact Information

JEWEL FOOD STORES INC
N112 W 15800 MEQUON RD
GERMANTOWN, WI53022
 Phone: 262-253-1526
 Fax: 262-253-2793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JEWEL FOOD STORES INC

NPI Number 1376599886
LBN Legal business name JEWEL FOOD STORES INC
Authorized official LORENZO TORRES - (NEW STORE ENROLLMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
WI License # 8076
WI Medicaid 33255800
Other 5126431 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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