IV Compound Center of Wisconsin LLC
NPI #1487997235 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1487997235
- Entity Type
- Organization
- Organization Name
- IV Compound Center of Wisconsin LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Mar 30, 2013
- Last Updated
- Mar 30, 2013
Practice Location
- Address
- 5478 S WESTRIDGE DR
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151-7948
- Phone
- (262) 641-2850
Authorized Official
- Name
- MR. DONALD STEVEN KOSHAK, RPH
- Title
- OWNER
- Phone
- (262) 641-2850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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