National Provider Identifier Database

ROUNDYS SUPERMARKETS INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

ROUNDY'S SUPERMARKETS INC
1750 HWY 51 W
STOUGHTON, WI53589
Phone: 608-873-3069
Fax: 608-873-3412
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for ROUNDY'S SUPERMARKETS INC

NPI Number 1245495480
Legal business name
LBN
ROUNDY'S SUPERMARKETS INC
Authorized official EDWARD KITZ - (GVP-LEGAL RISK & TREASURY)
Entity Organization
Organization subpart No
Enumeration date 07/28/2008
Last updated 03/15/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 8850-42
  • WI Medicaid: 36229400
  • Other: 5130860 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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