Mariano'S Pharmacy #543

LBN: Roundy'S Supermarkets, Inc
Mariano'S Pharmacy #543 is an health care organization with primary practice located at 345 W Roosevelt Rd , Lombard IL 60148-4219. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Roundy'S Supermarkets, Inc can be contacted via phone (630) 629-4475, or through Bredestege, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
345 W Roosevelt Rd Lombard IL 60148-4219
Phone: (630) 629-4475
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bredestege, Allison
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1477098978
LBN Legal business name Roundy'S Supermarkets, Inc
DBA Doing business as Mariano'S Pharmacy #543
Authorized official Bredestege, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2016
Last updated Dec 1st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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