# ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Froedtert Health St. Joseph's Hospital Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578842811
- **Authorized official:** BINITA PATEL (ASSISTANT DIRECTOR, PHARMACY)
- **Authorized official phone:** (414) 805-6512

## Contact information

- **Practice address:** 3200 PLEASANT VALLEY RD STE 1A, WEST BEND, WI 53095-9274
- **Practice address phone:** (414) 805-5113
- **Mailing address:** 3200 PLEASANT VALLEY RD, SUITE 1A, WEST BEND, WI 53095-9274
- **Mailing address phone:** (414) 805-5113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9081042 | WI | Yes |

## Other

- **Enumeration date:** 08/04/2011
- **Last updated:** 03/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5132751 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |