NPI 1215302773

Roundys

Organisation Point of Service Oconomowoc, WI

Practice location

Address: 36903 E Wisconsin Ave, Oconomowoc, WI 53066-3144
Phone: (262) 567-7938
Fax: (262) 567-7994

Authorised official

Name: Susan Jay Lincoln
Title: Staff Pharmacist
Phone: (262) 567-7938

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence R9740-40 (WI)

Other Point of Service providers in Wisconsin →

Registry record

NPI: 1215302773
Entity type: Organization
NPI issued: 9 Dec 2015
Record last updated: 9 Dec 2015

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.