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A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Compounding Pharmacy |
3336C0004X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1487997235 |
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| LBN Legal business name | IV COMPOUND CENTER OF WISCONSIN LLC | ||||
| Authorized official | DONALD KOSHAK - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/30/2013 | ||||
| Last updated | 03/30/2013 - About 13 years ago | ||||
| Identifiers |
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IV COMPOUND CENTER OF WISCONSIN LLC