Organization
ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC.
Active
Other names
Froedtert Health St. Joseph's Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BINITA PATEL (ASSISTANT DIRECTOR, PHARMACY)
(414) 805-6512
Entity
Organization
Contact information
Practice address
3200 PLEASANT VALLEY RD STE 1A, WEST BEND, WI 53095-9274
(414) 805-5113
Mailing address
3200 PLEASANT VALLEY RD, SUITE 1A, WEST BEND, WI 53095-9274
(414) 805-5113
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9081042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5132751
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/04/2011
Last updated
03/09/2015
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