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Organization
FROEDTERT HEALTH PHARMACY LLC
Active
Organization
FROEDTERT HEALTH PHARMACY LLC
Active
Other names
Froedtert Pharmacy 050
Organization subpart
No
Provider details
NPI number
Authorized official
DALE DRIZD (EXEC DIR FROEDTERT HEALTH PHAR SOLN)
(262) 532-5168
Entity
Organization
Contact information
Practice address
9200 W WISCONSIN AVE # 100E, MILWAUKEE, WI 53226-3522
(414) 805-5690
Mailing address
N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
NULL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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