Organization
COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS, INC.
Active
Other names
Froedtert and MCW Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PERHACH (BUSINESS MANAGER)
(262) 532-5163
Entity
Organization
Contact information
Practice address
N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
(262) 532-5163
(262) 532-5105
Mailing address
N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
(262) 532-5173
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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