Md Custom Rx

LBN: Glendale Prescription Center Inc
Md Custom Rx is an health care organization with primary practice located at 5322 N Port Washington Rd , Glendale WI 53217-4913. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Glendale Prescription Center Inc can be contacted via phone (414) 967-9248, or through Zatarski, Monica Marie via phone (414) 967-9248.

Contact Information

Primary practice address
5322 N Port Washington Rd Glendale WI 53217-4913
Phone: (414) 967-9248
Fax: (414) 967-9548
Website:
Map and Directions
Authorized official contact:
Name: Zatarski, Monica Marie
Phone: (414) 967-9248

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X 8506042 Wisconsin

Profile Details

NPI number 1114960994
LBN Legal business name Glendale Prescription Center Inc
DBA Doing business as Md Custom Rx
Authorized official Zatarski, Monica Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1114960994 NPPES
Other 5128738 OTHER ID NUMBER-COMMERCIAL NUMBER

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