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Organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Active
Organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Active
Parent organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Other names
Froedtert & MCW Mequon Health Center Remote Dispensing Site
Organization subpart
Yes
Provider details
NPI number
Legal business name
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Authorized official
DALE DRIZD PHARMD (DIRECTOR)
(262) 532-5168
Entity
Organization
Contact information
Practice address
11430 N PORT WASHINGTON RD, SUITE 103, MEQUON, WI 53092-3454
(262) 518-1899
(262) 532-5105
Mailing address
N86 N12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
07/17/2017
Last updated
10/18/2019
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