# FROEDTERT HEALTH PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Froedtert Pharmacy 050
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144087008
- **Authorized official:** JORDAN DOW (VP, CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (414) 805-1519

## Contact information

- **Practice address:** 8850 WILLIAM COFFEY DR, MILWAUKEE, WI 53226-1264
- **Practice address phone:** (414) 805-6500
- **Practice address fax:** (262) 532-5105
- **Mailing address:** N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
- **Mailing address phone:** (262) 532-5173
- **Mailing address fax:** (262) 532-5105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 03/06/2024