| NPI | 1063874824 |
|---|---|
| Doing Business As | FROEDTERT & MCW MOORLAND RESERVE HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN PERHACH Business Manager 414-805-6531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9396-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-07-28 |