Metro Market Pharmacy

LBN: Roundys Supermarkets Inc
Metro Market Pharmacy is an health care organization with primary practice located at 17630 W Bluemound Rd , Brookfield WI 53045-2908. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Roundys Supermarkets Inc can be contacted via phone (262) 784-2490, or through Bredestege, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
17630 W Bluemound Rd Brookfield WI 53045-2908
Phone: (262) 784-2490
Fax: (262) 784-2507
Website:
Map and Directions
Authorized official contact:
Name: Bredestege, Allison
Phone: (513) 762-1019

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8999-042 Wisconsin

Profile Details

NPI number 1164745162
LBN Legal business name Roundys Supermarkets Inc
DBA Doing business as Metro Market Pharmacy
Authorized official Bredestege, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2010
Last updated Dec 1st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164745162 NPPES
Other 2123938 PK
MEDICAID 1164745162 PK

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