National Provider Identifier Database

PHARMACY COMPOUNDING CENTER ASSOCIATES LLC
Compounding Pharmacy

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.


Contact Information

PHARMACY COMPOUNDING CENTER ASSOCIATES, LLC.
880 MILL ST N STE 202
WEST SALEM, WI54669-2213
Phone: 608-788-4500
Fax: 608-788-4501
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X

* Indicates primary specialty

NPI Profile & details for PHARMACY COMPOUNDING CENTER ASSOCIATES, LLC.

NPI Number 1881288637
Legal business name
LBN
PHARMACY COMPOUNDING CENTER ASSOCIATES, LLC.
Authorized official THOMAS BRIESKE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/23/2021
Last updated 02/23/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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