Froedtert Memorial Lutheran Hospital, Inc

LBN: Froedtert Memorial Lutheran Hospital, Inc
Froedtert Memorial Lutheran Hospital, Inc is an health care organization with primary practice located at 1155 N Mayfair Rd , Wauwatosa WI 53226-3462. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Froedtert Memorial Lutheran Hospital, Inc can be contacted via phone (414) 955-5990, or through Drizd, Dale via phone (262) 532-5168.

Contact Information

Primary practice address
1155 N Mayfair Rd Wauwatosa WI 53226-3462
Phone: (414) 955-5990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Drizd, Dale PHARMD
Phone: (262) 532-5168

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 9196-42 Wisconsin
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1316380785
LBN Legal business name Froedtert Memorial Lutheran Hospital, Inc
DBA Doing business as
Authorized official Drizd, Dale PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2013
Last updated Oct 30th, 2017 - about 7 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 1316380785 NPPES
Other 2139864 PK

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