Froedtert Health Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Milwaukee, WI. Organization (NPI-2).
NPI number1982252813
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1982252813
- Entity type
- Organization (NPI-2)
- Legal business name
- Froedtert Health Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2019
- Certification date
- Jan 16, 2023
- Last updated
- Jan 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – |
Other names
- Froedtert Pharmacy 050 (Doing Business As)
Practice location
8850 William Coffey DrMilwaukee, WI 53226-1264
Phone 414-805-6500 · Fax 262-532-5105
Mailing address
N86w12999 Nightingale WayMenomonee Falls, WI 53051-2102
Phone 262-532-5163 · Fax 262-532-5105
Authorized official
Dale Drizd
Exec Dir Fh Pharmacy Solutions
2625325168
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