Organization · Type 2 NPI
Custom Health Pharmacy Inc
Compounding Pharmacy · Green Bay, WI
Practice location
844 Willard Dr Ste 7
Green Bay, WI 54304-5265
Fax (920) 884-7346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Compounding Pharmacy Primary | 3336C0004X | 9354-42 (WI) |
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 1104088020
Custom Health Pharmacy Inc's National Provider Identifier is 1104088020, issued on Jul 1, 2008. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Green Bay, WI. The record was last updated on May 16, 2016.