# COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Froedtert and MCW Specialty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366090599
- **Authorized official:** KEVIN PERHACH (BUSINESS MANAGER)
- **Authorized official phone:** (262) 532-5163

## Contact information

- **Practice address:** N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
- **Practice address phone:** (262) 532-5163
- **Practice address fax:** (262) 532-5105
- **Mailing address:** N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
- **Mailing address phone:** (262) 532-5173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2019
- **Last updated:** 08/30/2019