NPI | 1225686405 |
---|---|
Doing Business As | FROEDTERT PHARMACY 025 |
Entity Type | Organization |
Authorized Contact | DALE DRIZD Exec Dir Fh Pharmacy Solution 262-532-5168 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2019-08-30 |
Last Update Date | 2023-01-16 |