| NPI | 1053969980 |
|---|---|
| Doing Business As | FROEDTERT PHARMACY 125 |
| Entity Type | Organization |
| Authorized Contact | KEVIN PERHACH Business Manager 262-532-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |