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Organization
PHARMACY HOLDING COMPANY OF WISCONSIN LLC
Active
Organization
PHARMACY HOLDING COMPANY OF WISCONSIN LLC
Active
Other names
Americas Best Pet Pharmacy/Universal Compounders LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL HULL (OWNER/MEMBER)
(715) 358-4070
Entity
Organization
Contact information
Practice address
1256 OLD 51 S, ARBOR VITAE, WI 54568-9793
(715) 358-4070
(715) 358-4072
Mailing address
PO BOX 1968, WOODRUFF, WI 54568-1968
(715) 358-4070
(715) 358-4072
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
11215/7.1
MS
3336C0004X
Compounding Pharmacy
9082-042
WI
3336C0004X
Compounding Pharmacy
Primary
PH25982
FL
3336M0002X
Mail Order Pharmacy
696
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5133169
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/09/2012
Last updated
02/22/2013
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