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.
Organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Active
Organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Active
Other names
Froedtert Outpatient East Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY R VAN DE KREEKE (SR. VICE PRESIDENT - FINANCE)
(414) 777-0968
Entity
Organization
Contact information
Practice address
9200 W WISCONSIN AVE, SUITE 100E, MILWAUKEE, WI 53226-3522
(414) 805-6501
(414) 805-6513
Mailing address
9200 W WISCONSIN AVE, SUITE 100E, MILWAUKEE, WI 53226-3522
(414) 805-6501
(414) 805-6513
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
7516-042
WI
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
10/18/2006
Last updated
05/06/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers