Froedtert Rds 300

LBN: Froedtert Health Pharmacy Llc
Froedtert Rds 300 is an health care organization with primary practice located at 11430 N Port Washington Rd Ste 103 , Mequon WI 53092-3414. 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. Froedtert Health Pharmacy Llc can be contacted via phone (262) 518-1899, or through Perhach, Kevin via phone (262) 532-5163.

Contact Information

Primary practice address
11430 N Port Washington Rd Ste 103 Mequon WI 53092-3414
Phone: (262) 518-1899
Fax: (262) 532-5105
Website:
Map and Directions
Authorized official contact:
Name: Perhach, Kevin
Phone: (262) 532-5163

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1134777337
LBN Legal business name Froedtert Health Pharmacy Llc
DBA Doing business as Froedtert Rds 300
Authorized official Perhach, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2019
Last updated Sep 5th, 2019 - about 6 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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