Custom Health Pharmacy, Inc

LBN: Custom Health Pharmacy Inc
Custom Health Pharmacy, Inc is an health care organization with primary practice located at 844 Willard Dr Ste 7 , Green Bay WI 54304-5265. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Custom Health Pharmacy Inc can be contacted via phone (920) 884-7345, or through Sowinski, John via phone (920) 482-3145.

Contact Information

Primary practice address
844 Willard Dr Ste 7 Green Bay WI 54304-5265
Phone: (920) 884-7345
Fax: (920) 884-7346
Website:
Map and Directions
Authorized official contact:
Name: Sowinski, John
Phone: (920) 482-3145

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X 9354-42 Wisconsin

Profile Details

NPI number 1104088020
LBN Legal business name Custom Health Pharmacy Inc
DBA Doing business as Custom Health Pharmacy, Inc
Authorized official Sowinski, John
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2008
Last updated May 16th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104088020 NPPES
Other 2133536 PK

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