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NPI 1104517176

OrganizationActive

Pharmacy Compounding LLC.

NPI 1104517176 · Compounding Pharmacy · West Salem, WI

Provider details

NPI number: 1104517176
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Authorized official: Thomas Brieske, Owner

Practice location

880 Mill St N Ste 202

West Salem, WI 54669-2213

Phone: (608) 788-4500

More WI providers

Mailing address

Po Box 185

West Salem, WI 54669-0185

Registry dates

Enumerated: 2023-05-18
Last updated: 2023-05-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Pharmacy Compounding LLC. — NPI 1104517176, West Salem, WI | NPI Central