location
search-icon
institution
Modern Apothecary, Llc
Compounding Pharmacy in Kenosha, Wisconsin
NPI 1407265598

Modern Apothecary, Llc is a Compounding Pharmacy based in Kenosha, WI and is specialized in Compounding Pharmacy. Modern Apothecary, Llc practices in Kenosha, WI. The NPI Number for Modern Apothecary, Llc is 1407265598 and holds a License No. 9274-42 (Wisconsin).

The current practice location address for Modern Apothecary, Llc is 5700 6Th Ave, Kenosha, WI and can be reached out via phone at 262-997-9573 and via fax at 262-997-9574.

Location: 5700 6Th Ave, Kenosha, WI, 53140-4104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407265598
Provider Name
Modern Apothecary, Llc
Credential
Provider Entity Type
Organization
Address
5700 6Th Ave, Kenosha, WI, 53140-4104
Phone Number
262-997-9573
Fax Number
262-997-9574
Provider Enumeration Date
08/04/2014
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5134476 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
5700 6Th Ave
City
Kenosha
State
Wisconsin
Zip
53140-4104
Phone Number
262-997-9573
Fax Number
262-997-9574
person
Provider Business Mailing Address Details
Address
5700 6Th Ave
City
Kenosha
State
Wisconsin
Zip
53140-4104
Phone Number
262-997-9573
Fax Number
262-997-9574
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
9274-42 (Wisconsin)
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.