Pharmacy Compounding Llc.
NPI #1104517176 in West Salem, Wisconsin
Provider Information
- NPI Number
- 1104517176
- Entity Type
- Organization
- Organization Name
- Pharmacy Compounding Llc.
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- May 18, 2023
- Last Updated
- May 18, 2023
Practice Location
- Address
- 880 MILL ST N STE 202
- City
- West Salem
- State
- Wisconsin
- ZIP Code
- 54669-2213
- Phone
- (608) 788-4500
Authorized Official
- Name
- THOMAS BRIESKE
- Title
- OWNER
- Phone
- (608) 386-9039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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