Organization
PHARMACY COMPOUNDING LLC.
Active
Other names
Pharmacy Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BRIESKE (OWNER)
(608) 386-9039
Entity
Organization
Contact information
Practice address
880 MILL ST N STE 202, WEST SALEM, WI 54669-2213
(608) 788-4500
Mailing address
PO BOX 185, WEST SALEM, WI 54669-0185
(608) 386-9039
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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