Froedtert & Mcw Moorland Reserve Health Center Pharmacy

LBN: Community Memorial Hospital Of Menomonee Falls Inc
Froedtert & Mcw Moorland Reserve Health Center Pharmacy is an health care organization with primary practice located at 4805 S Moorland Rd Rm G0502A , New Berlin WI 53151-7401. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Community Memorial Hospital Of Menomonee Falls Inc can be contacted via phone (262) 798-7386, or through Perhach, Kevin via phone (414) 805-6531.

Contact Information

Primary practice address
4805 S Moorland Rd Rm G0502A New Berlin WI 53151-7401
Phone: (262) 798-7386
Fax: (262) 798-7320
Website:
Map and Directions
Authorized official contact:
Name: Perhach, Kevin
Phone: (414) 805-6531

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 9396-42 Wisconsin

Profile Details

NPI number 1063874824
LBN Legal business name Community Memorial Hospital Of Menomonee Falls Inc
DBA Doing business as Froedtert & Mcw Moorland Reserve Health Center Pharmacy
Authorized official Perhach, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2016
Last updated Jul 28th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063874824 NPPES
Wisconsin MEDICAID 1063874824
Wisconsin Other 2158809

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