# FROEDTERT HEALTH PHARMACY LLC

> 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:** Froedtert Pharmacy 050
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942968557
- **Authorized official:** DALE DRIZD (EXEC DIR FROEDTERT HEALTH PHAR SOLN)
- **Authorized official phone:** (262) 532-5168

## Contact information

- **Practice address:** 9200 W WISCONSIN AVE \# 100E, MILWAUKEE, WI 53226-3522
- **Practice address phone:** (414) 805-5690
- **Mailing address:** N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2021
- **Last updated:** 12/01/2021