Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CUSTOM HEALTH PHARMACY INC
Active OrganizationCUSTOM HEALTH PHARMACY INC is a Clinic Pharmacy organization located in GREEN BAY, Wisconsin. NPI 1104088020 is currently active in the NPPES registry. Verify at CMS.
Clinic Pharmacy · GREEN BAY, WI
Registration Details
- NPI Number
- 1104088020
- Provider Type
- Organization
- NPI Issued
- Jul 1, 2008 (18.130619353718 yrs)
- Last Updated
- May 16, 2016
- License
-
9354-42 (WI)
Practice Information
- Address
-
844 WILLARD DR STE 7GREEN BAY, WI, 543045265Browse WI providers · Browse ZIP 54304
- Phone
- 9208847345
- Fax
- 9208847346
- Primary Specialty
-
Clinic Pharmacy
3336C0004X
- Additional Specialty
- Clinic Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.