location
search-icon
institution
Custom Health Pharmacy Inc
Compounding Pharmacy in Green Bay, Wisconsin
NPI 1104088020

Custom Health Pharmacy Inc is a Compounding Pharmacy based in Green Bay, WI and is specialized in Compounding Pharmacy. Custom Health Pharmacy Inc practices in Green Bay, WI. The NPI Number for Custom Health Pharmacy Inc is 1104088020 and holds a License No. (Wisconsin).

The current practice location address for Custom Health Pharmacy Inc is 844 Willard Dr Ste 7, Green Bay, WI and can be reached out via phone at 920-884-7345 and via fax at 920-884-7346. You can also correspond with Custom Health Pharmacy Inc through the mailing address at 844 WILLARD DR STE 7, GREEN BAY, WI - 54304-5265 (mailing address contact number: 920-884-7345).

Location: 844 Willard Dr Ste 7, Green Bay, WI, 54304-5265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104088020
Provider Name
Custom Health Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
844 Willard Dr Ste 7, Green Bay, WI, 54304-5265
Phone Number
920-884-7345
Fax Number
920-884-7346
Provider Enumeration Date
07/01/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2133536 01 PK
institution
Provider Business Practice Location Address Details
Address
844 Willard Dr Ste 7
City
Green Bay
State
Wisconsin
Zip
54304-5265
Phone Number
920-884-7345
Fax Number
920-884-7346
person
Provider Business Mailing Address Details
Address
844 Willard Dr Ste 7
City
Green Bay
State
Wisconsin
Zip
54304-5265
Phone Number
920-884-7345
Fax Number
920-884-7346
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
9354-42 (Wisconsin)
Definition
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 located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Green Bay, Wisconsin:

institution
Streu's Pharmacy, Inc
NPI 1104827146
Compounding Pharmacy
635 Main St,
GREEN BAY, WI
54301-4918
920-437-0206
More