Mariano'S Pharmacy

LBN: Roundys Supermarkets Inc
Mariano'S Pharmacy is an health care organization with primary practice located at 6655 Grand Ave , Gurnee IL 60031-5274. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Roundys Supermarkets Inc can be contacted via phone (847) 856-8701, or through Kitz, Edward via phone (414) 231-5000.

Contact Information

Primary practice address
6655 Grand Ave Gurnee IL 60031-5274
Phone: (847) 856-8701
Fax: (847) 856-8704
Website:
Map and Directions
Authorized official contact:
Name: Kitz, Edward
Phone: (414) 231-5000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054018490 Illinois

Profile Details

NPI number 1487085288
LBN Legal business name Roundys Supermarkets Inc
DBA Doing business as Mariano'S Pharmacy
Authorized official Kitz, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2013
Last updated Sep 8th, 2014 - about 10 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 1487085288 NPPES
Other 2143385 PK

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