NPI: 1104088020
Provider Name: CUSTOM HEALTH PHARMACY INC
Doing Business As: CUSTOM HEALTH PHARMACY, INC
Classification: Pharmacy - 3336C0004X
Entity Type: Organization
Specialization: Compounding Pharmacy
Address:
844 WILLARD DR STE 7
GREEN BAY, WI
ZIP 54304
Phone: (920) 884-7345
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CUSTOM HEALTH PHARMACY INC is a compounding pharmacy pharmacy in Green Bay, WI. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. CUSTOM HEALTH PHARMACY INC NPI is 1104088020. The provider is registered as an organization entity type.
The provider Is Doing Business As Custom Health Pharmacy, Inc.
The provider's business location address is:
844 WILLARD DR STE 7
GREEN BAY, WI
ZIP 54304-265
Phone: (920) 884-7345
Fax: (920) 884-7346
The provider's authorized official is John Sowinski .
The authorized official title is Pharmacist/president and has the following contact phone number (920) 482-3145.
The enumeration date for this NPI number is 7/1/2008 and was last updated on 5/16/2016.