FROEDTERT HEALTH PHARMACY LLC NPI 1992354823

NPI Details

FROEDTERT HEALTH PHARMACY LLC is a community/retail pharmacy pharmacy in West Bend, WI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FROEDTERT HEALTH PHARMACY LLC NPI is 1992354823. The provider is registered as an organization entity type.
The provider Is Doing Business As Froedtert Pharmacy 350.

The provider's business location address is:

1700 W PARADISE DR
WEST BEND, WI
ZIP 53095-795
Phone: (262) 532-5163
Fax: (262) 532-5105

The provider's authorized official is Kevin Perhach .
The authorized official title is Business Manager and has the following contact phone number (262) 532-5163.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 9/4/2019 and was last updated on 9/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: