NPI 1255564993
Roundys Supermarkets INC
Practice location
- Address
- 1717 N Mayfair Rd, Wauwatosa, WI 53226-3019
- Phone
- (414) 778-1884
- Fax
- (414) 778-1936
- 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 (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1255564993
- Entity type
- Organization
- NPI issued
- 28 Aug 2009
- Record last updated
- 1 Dec 2016
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.