Organization
FROEDTERT HEALTH PHARMACY LLC
Active
Other names
Froedtert Pharmacy 375
Organization subpart
No
Provider details
NPI number
Authorized official
DALE DRIZD (EXEC DIR FH PHARMACY SOLUTIONS)
(262) 532-5168
Entity
Organization
Contact information
Practice address
1650 S. 41ST STREET, MANITOWOC, WI 54220
(920) 320-4400
(920) 320-5104
Mailing address
N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051
(262) 532-5173
(262) 532-5105
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
01/10/2024
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