Roundys Supermarkets INC
Pharmacy, Community/Retail Pharmacy in Westmont, IL. Organization (NPI-2).
NPI number1386002145
StatusActive
Last updated in NPPESFeb 8, 2016
Details
- NPI
- 1386002145
- Entity type
- Organization (NPI-2)
- Legal business name
- Roundys Supermarkets INC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2016
- Last updated
- Feb 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Marianos Pharmacy #8536 (Doing Business As)
Practice location
150 W 63rd StWestmont, IL 60559
Phone 630-964-4654 · Fax 630-964-5056
Mailing address
Po Box 473Ms-2870
Milwaukee, WI 53201-0473
Phone 414-231-6153
Authorized official
Edward Kitz
Group Vp - Legal Risk & Treasury
4142315000
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All 5 Community/Retail Pharmacy providers in Westmont · All 1,115 providers in Westmont
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