Marianos Fresh Market Pharmacy
LBN: Roundys Supermarkets Inc
Marianos Fresh Market Pharmacy is an health care organization with primary practice located at 802 E Northwest Hwy , Arlington Heights IL 60004-6233. 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 (847) 253-5494, or through Kitz, Edward via phone (414) 231-5000.
Contact Information
Primary practice address
802 E Northwest Hwy
Arlington Heights IL 60004-6233
Phone: (847) 253-5494
Fax: (847) 253-5498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054-017351 | Illinois |
Profile Details
| NPI number | 1497071823 |
|---|---|
| LBN Legal business name | Roundys Supermarkets Inc |
| DBA Doing business as | Marianos Fresh Market Pharmacy |
| Authorized official | Kitz, Edward |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2010 |
| Last updated | Mar 25th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497071823 | NPPES |
| Other | 1484269 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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