| NPI | 1083364020 |
|---|---|
| Doing Business As | FROEDTERT PHARMACY 400 |
| Entity Type | Organization |
| Authorized Contact | DALE DRIZD Executive Director & COO 262-532-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-05-10 |