NPI | 1073162905 |
---|---|
Doing Business As | FROEDTERT PHARMACY 275 |
Entity Type | Organization |
Authorized Contact | KEVIN PERHACH Business Manager 262-532-5163 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Enumeration Date | 2019-09-04 |
Last Update Date | 2019-09-04 |