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Organization
FROEDTERT HEALTH PHARMACY LLC
Active
Organization
FROEDTERT HEALTH PHARMACY LLC
Active
Other names
Froedtert Pharmacy 050
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN DOW (VP, CHIEF PHARMACY OFFICER)
(414) 805-1519
Entity
Organization
Contact information
Practice address
8850 WILLIAM COFFEY DR, MILWAUKEE, WI 53226-1264
(414) 805-6500
(262) 532-5105
Mailing address
N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
(262) 532-5173
(262) 532-5105
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
Primary
—
NULL
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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