Custom Health Pharmacy Inc, NPI 1104088020
Compounding Pharmacy in Green Bay, WI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1104088020 |
| NPI Entity Type | Organization |
| Provider Name |
Custom Health Pharmacy Inc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 844 Willard Dr Ste 7, Green Bay, WI, US |
| Provider Mailing Address | 844 Willard Dr Ste 7, Green Bay, WI, US, 543045265 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | John Sowinski |
| Official Position | PHARMACIST/PRESIDENT |
| Phone | 920-482-3145 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Compounding Pharmacy |
| Classification | |
| Group | |
| License No. | 9354-42 |
| License State | WI |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
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