Organization · Type 2 NPI

Modern Apothecary, LLC

Pharmacy · Kenosha, WI

NPI number 1407265598 Active

Practice location

5700 6th Ave
Kenosha, WI 53140-4104

Fax (262) 997-9574

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	9274-42 (WI)
Community/Retail Pharmacy	3336C0003X	None listed
Compounding Pharmacy	3336C0004X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1407265598

Modern Apothecary, LLC's National Provider Identifier is 1407265598, issued on Aug 4, 2014. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Kenosha, WI. The record was last updated on Jan 31, 2024.