| NPI | 1861573446 |
|---|---|
| Doing Business As | FROEDTERT OUTPATIENT EAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY R VAN DE KREEKE Sr. Vice President Finance 414-777-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 7516-042) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-05-06 |