# FROEDTERT HEALTH PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Froedtert Pharmacy 400
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083364020
- **Authorized official:** DALE DRIZD (EXECUTIVE DIRECTOR & COO)
- **Authorized official phone:** (262) 532-5168

## Contact information

- **Practice address:** 10000 W BLUEMOUND RD, WAUWATOSA, WI 53226-4321
- **Practice address phone:** (414) 454-8150
- **Mailing address:** N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
- **Mailing address phone:** (262) 532-5173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2022
- **Last updated:** 05/10/2022