# FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Advanced Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356722045
- **Authorized official:** KEVIN PERHACH (BUSINESS MANAGER)
- **Authorized official phone:** (414) 805-6531

## Contact information

- **Practice address:** 9200 W WISCONSIN AVE, CFAC PHARMACY, MILWAUKEE, WI 53226-3522
- **Practice address phone:** (414) 805-1295
- **Practice address fax:** (414) 805-1299
- **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 |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9309-42 | WI | Yes |

## Other

- **Enumeration date:** 06/18/2015
- **Last updated:** 11/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1356722045 | — | WI |
| 01 | — | 2152531 | PK | — |