Copps Food Center Pharmacy

LBN: Roundys Supermarkets Inc
Copps Food Center Pharmacy is an health care organization with primary practice located at 1500 Pinecrest Ave , Stevens Point WI 54481-4326. 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 (715) 345-7175, or through Bredestege, Allison via phone (513) 762-1019.

Contact Information

Primary practice address
1500 Pinecrest Ave Stevens Point WI 54481-4326
Fax: (715) 345-1745
Website:
Authorized official contact:
Name: Bredestege, Allison

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9140-42 Wisconsin

Profile Details

NPI number 1255668257
LBN Legal business name Roundys Supermarkets Inc
DBA Doing business as Copps Food Center Pharmacy
Authorized official Bredestege, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2009
Last updated Jul 19th, 2018 - about 6 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 1255668257 NPPES
Wisconsin MEDICAID 1255668257
Wisconsin Other 2122745

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