# COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** F & MCW Drexel Town Square Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811416639
- **Authorized official:** KEVIN PERHACH (BUSINESS MANAGER)
- **Authorized official phone:** (262) 532-5163

## Contact information

- **Practice address:** 7901 S 6TH ST, OAK CREEK, WI 53154-2010
- **Practice address phone:** (414) 346-8050
- **Practice address fax:** (262) 532-5105
- **Mailing address:** N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
- **Mailing address phone:** (262) 532-5163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9462-42 | WI | Yes |

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1811416639 | — | WI |
| 01 | — | 2171439 | PK | — |