Whalio Doctors

NPI 1164750790

Roundys Supermarkets INC

Organisation Community/Retail Pharmacy Oak Creek, WI

Practice location

Address
6462 S 27th St, Oak Creek, WI 53154-1036
Phone
(414) 761-1550
Fax
(414) 761-1682
Mailing address
PO Box 842772, Boston, MA 02284-2772

Authorised official

Name
Allison Bredestege
Title
Manager of Pharmacy Licensing
Phone
(513) 762-1019

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 8973-42 (WI)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1164750790
Entity type
Organization
NPI issued
19 Nov 2009
Record last updated
19 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.