| NPI | 1114960994 |
|---|---|
| Doing Business As | MD CUSTOM RX |
| Entity Type | Organization |
| Authorized Contact | MONICA MARIE ZATARSKI Owner President 414-967-9248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: WI 8506042) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |