OrganizationActive
IV Compound Center of Wisconsin LLC
NPI 1487997235 · Compounding Pharmacy · New Berlin, WI
Provider details
- NPI number
- 1487997235
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Donald Koshak, Owner(262) 641-2850
- License
- 8543-042 (WI)
Specialties & taxonomies
Suppliers
Practice location
5478 S Westridge Dr
New Berlin, WI 53151-7948
Phone: (262) 641-2850
Fax: (262) 641-2854
Approximate (ZIP-level) locationGet directions
Mailing address
5478 S Westridge Dr
New Berlin, WI 53151-7948
Registry dates
- Enumerated
- 2013-03-30
- Last updated
- 2013-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.