NPI 1003175266

Pharmacy Holding Company of Wisconsin LLC

Organisation Compounding Pharmacy Arbor Vitae, WI

Practice location

Address: 1256 Old 51 S, Arbor Vitae, WI 54568-9793
Phone: (715) 358-4070
Fax: (715) 358-4072
Mailing address: PO Box 1968, Woodruff, WI 54568-1968

Authorised official

Name: Cheryl Hull
Title: Owner/Member
Phone: (715) 358-4070

Registered specialties (4)

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X Licence PH25982 (FL)

Other Pharmacy providers in Wisconsin →

Pharmacy

Suppliers Taxonomy 333600000X Licence 11215/7.1 (MS)

Compounding Pharmacy

Suppliers Taxonomy 3336C0004X Licence 9082-042 (WI)

Mail Order Pharmacy

Suppliers Taxonomy 3336M0002X Licence 696 (NE)

Registry record

NPI: 1003175266
Entity type: Organization
NPI issued: 9 May 2012
Record last updated: 22 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.