OrganizationActive
Custom Health Pharmacy Inc
NPI 1104088020 · Compounding Pharmacy · Green Bay, WI
Provider details
- NPI number
- 1104088020
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Sowinski, Pharmacist/President(920) 482-3145
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
844 Willard Dr Ste 7
Green Bay, WI 54304-5265
Phone: (920) 884-7345
Fax: (920) 884-7346
Approximate (ZIP-level) locationGet directions
Mailing address
844 Willard Dr Ste 7
Green Bay, WI 54304-5265
Other names (DBA / former)
- Doing business as
- Custom Health Pharmacy, Inc
Registry dates
- Enumerated
- 2008-07-01
- Last updated
- 2016-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.