# BROOKFIELD PRESCRIPTION CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MD Custom Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912154774
- **Authorized official:** MONICA ZATARSKI (PRESIDENT)
- **Authorized official phone:** (262) 373-1050

## Contact information

- **Practice address:** 19035 W CAPITOL DR, BROOKFIELD, WI 53045-2755
- **Practice address phone:** (262) 373-1050
- **Practice address fax:** (262) 373-1053
- **Mailing address:** 19035 W CAPITOL DR, STE 102, BROOKFIELD, WI 53045-2755
- **Mailing address phone:** (262) 373-1050
- **Mailing address fax:** (262) 373-1053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 5301010339 | MI | — |
| 3336C0003X | Community/Retail Pharmacy | 054017646 | IL | Yes |
| 3336C0003X | Community/Retail Pharmacy | 8844-42 | WI | — |
| 3336C0004X | Compounding Pharmacy | 263654 | MN | — |

## Other

- **Enumeration date:** 08/24/2008
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2116685 | PK | — |
