NPI 1104088020

Custom Health Pharmacy INC

Organisation Compounding Pharmacy Green Bay, WI

Practice location

Address: 844 Willard Dr STE 7, Green Bay, WI 54304-5265
Phone: (920) 884-7345
Fax: (920) 884-7346

Authorised official

Name: John Sowinski
Title: Pharmacist/President
Phone: (920) 482-3145

Registered specialties (2)

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X Licence 9354-42 (WI)

Other Pharmacy providers in Wisconsin →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1104088020
Entity type: Organization
NPI issued: 1 Jul 2008
Record last updated: 16 May 2016

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.