| NPI | 1104088020 |
|---|---|
| Doing Business As | CUSTOM HEALTH PHARMACY, INC |
| Entity Type | Organization |
| Authorized Contact | JOHN SOWINSKI Pharmacist/President 920-482-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: WI 9354-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2016-05-16 |