Organization
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE DRIZD PHARMD (DIRECTOR PHARMACY OPERATIONS)
(262) 532-5168
Entity
Organization
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9196-42
WI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139864
PK
—
Enumeration date
04/16/2013
Last updated
10/30/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us