Whalio Doctors

NPI 1255564993

Roundys Supermarkets INC

Organisation Community/Retail Pharmacy Wauwatosa, WI

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
Suppliers Taxonomy 3336C0003X Licence 8943-42 (WI)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

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.