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Contact Information

ROUNDYS SUPERMARKETS INC
3300 CALUMET AVE
MANITOWOC, WI54220
 Phone: 920-682-3051
 Fax: 920-682-4485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ROUNDYS SUPERMARKETS INC

NPI Number 1851550628
LBN Legal business name ROUNDYS SUPERMARKETS INC
Authorized official JESSIE WARMAN - (MANAGER OF PHARMACY LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2008
Last updated 09/05/2018 - About 8 years ago
Identifiers
WI License # 8842042
WI Medicaid 1851550628
Other 2111114 PK
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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