Roundys Supermarkets INC
Pharmacy, Community/Retail Pharmacy in Bloomingdale, IL. Organization (NPI-2).
NPI number1669915005
StatusActive
Last updated in NPPESDec 1, 2016
Details
- NPI
- 1669915005
- Entity type
- Organization (NPI-2)
- Legal business name
- Roundys Supermarkets INC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2016
- Last updated
- Dec 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Marianos Pharmacy #8540 (Doing Business As)
Practice location
144 S Gary AveBloomingdale, IL 60108-2225
Phone 630-671-9138 · Fax 630-671-9235
Mailing address
Po Box 473Milwaukee, WI 53201-0473
Phone 414-231-5000
Authorized official
William Dowling
Vice President
4142315000
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