Organization
COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC
Active
Other names
Froedtert & the Medical College of Wisconsin Home Infusion, Froedtert & MCW Home Infusion, ISC Central Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DALE DRIZD (PHARMACY DIRECTOR)
(262) 532-5168
Entity
Organization
Contact information
Practice address
N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
(262) 532-5124
(262) 532-5114
Mailing address
N86W12999 NIGHTINGALE WAY, MENOMONEE FALLS, WI 53051-2102
(262) 532-5124
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
9406-42
WI
3336I0012X
Institutional Pharmacy
9406-42
WI
Other
Enumeration date
02/08/2017
Last updated
07/21/2022
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