Organization · Type 2 NPI
Pharmacy Holding Company of Wisconsin LLC
Compounding Pharmacy · Arbor Vitae, WI
Practice location
1256 Old 51 S
Arbor Vitae, WI 54568-9793
Fax (715) 358-4072
Mailing address
PO Box 1968
Woodruff, WI 54568-1968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | 11215/7.1 (MS) |
| Compounding Pharmacy | 3336C0004X | 9082-042 (WI) |
| Compounding Pharmacy Primary | 3336C0004X | PH25982 (FL) |
| Mail Order Pharmacy | 3336M0002X | 696 (NE) |
Compounding Pharmacy: 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 compoun…
About NPI 1003175266
Pharmacy Holding Company of Wisconsin LLC's National Provider Identifier is 1003175266, issued on May 9, 2012. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Arbor Vitae, WI. The record was last updated on Feb 22, 2013.