Center For Advanced Care Pharmacy

LBN: Froedtert Memorial Lutheran Hospital, Inc.
Center For Advanced Care Pharmacy is an health care organization with primary practice located at 9200 W Wisconsin Ave Cfac Pharmacy, Milwaukee WI 53226-3522. 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 Memorial Lutheran Hospital, Inc. can be contacted via phone (414) 805-1295, or through Perhach, Kevin via phone (414) 805-6531.

Contact Information

Primary practice address
9200 W Wisconsin Ave Cfac Pharmacy Milwaukee WI 53226-3522
Fax: (414) 805-1299
Website:
Authorized official contact:
Name: Perhach, Kevin

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 9309-42 Wisconsin

Profile Details

NPI number 1356722045
LBN Legal business name Froedtert Memorial Lutheran Hospital, Inc.
DBA Doing business as Center For Advanced Care Pharmacy
Authorized official Perhach, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2015
Last updated Nov 21st, 2017 - 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 1356722045 NPPES
Wisconsin MEDICAID 1356722045
Wisconsin Other 2152531

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