Custom Health Pharmacy Inc in Green Bay - Pharmacy
Custom Health Pharmacy Inc - NPI 1104088020
Custom Health Pharmacy Inc is a Pharmacy in Green Bay, Wisconsin. Custom Health Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Custom Health Pharmacy Inc is 1104088020. The last update date is 2016-05-16.
Custom Health Pharmacy Inc's current location address is 844 Willard Dr Ste 7, Green Bay, Wisconsin. You can contact this provider via phone number 9208847345 and fax number 9208847346. The mailing address for Custom Health Pharmacy Inc is 844 Willard Dr Ste 7, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Health Pharmacy Inc |
|---|---|
| Address | 844 Willard Dr Ste 7, Green Bay, Wisconsin |
| Phone Number | 9208847345 |
| Fax Number | 9208847346 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Sowinski John |
| Telephone Number | 9204823145 |
NPI Number Detail
| NPI Number | 1104088020 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2016-05-16 |
Provider Mailing Address Detail
| Address | 844 Willard Dr Ste 7 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543045265 |
| Phone Number | 9208847345 |
| Fax Number | 9208847346 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
|
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 presc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2133536 | PK |
Post Comment/ Review Below
What is the unique identifier code issued to Custom Health Pharmacy Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Custom Health Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1104088020. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Custom Health Pharmacy Inc?
The Custom Health Pharmacy Inc is physically situated at 844 Willard Dr Ste 7, in the city of Green Bay, state of WI, with the postal code 543045265.
What is Custom Health Pharmacy Inc's area of expertise and its corresponding taxonomy classification?
The Custom Health Pharmacy Inc's field of specialization is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1104088020 to Custom Health Pharmacy Inc?
The Centers for Medicare & Medicaid Services assigned the 1104088020 to Custom Health Pharmacy Inc on 2008-07-01.
As of what date were the Custom Health Pharmacy Inc's details last updated?
The information pertaining to the Custom Health Pharmacy Inc, including its address, specialty, and other details, was most recently updated on 2016-05-16.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA