| 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 |