Froedtert Pharmacy 375

LBN: Froedtert Health Pharmacy Llc
Froedtert Pharmacy 375 is an health care organization with primary practice located at 1650 S. 41St Street , Manitowoc WI 54220. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Froedtert Health Pharmacy Llc can be contacted via phone (920) 320-4400, or through Drizd, Dale via phone (262) 532-5168.

Contact Information

Primary practice address
1650 S. 41St Street Manitowoc WI 54220
Phone: (920) 320-4400
Fax: (920) 320-5104
Website:
Map and Directions
Authorized official contact:
Name: Drizd, Dale
Phone: (262) 532-5168

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1568418929
LBN Legal business name Froedtert Health Pharmacy Llc
DBA Doing business as Froedtert Pharmacy 375
Authorized official Drizd, Dale
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Jan 10th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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