Organization
FROEDTERT HEALTH PHARMACY LLC
Active
Other names
Froedtert Pharmacy 050
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN DOW (VP, CHIEF PHARMACY OFFICER)
(414) 805-1519
Entity
Organization
Contact information
Practice address
8850 WILLIAM COFFEY DR, MILWAUKEE, WI 53226-1264
(414) 805-6500
(262) 532-5105
Mailing address
N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
(262) 532-5173
(262) 532-5105
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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