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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316380785 | NPPES |
| Other | 2139864 | PK |
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