Organization
BROOKFIELD PRESCRIPTION CENTER INC
Active
Other names
MD Custom Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA ZATARSKI (PRESIDENT)
(262) 373-1050
Entity
Organization
Contact information
Practice address
19035 W CAPITOL DR, BROOKFIELD, WI 53045-2755
(262) 373-1050
(262) 373-1053
Mailing address
19035 W CAPITOL DR, STE 102, BROOKFIELD, WI 53045-2755
(262) 373-1050
(262) 373-1053
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301010339
MI
3336C0003X
Community/Retail Pharmacy
Primary
054017646
IL
3336C0003X
Community/Retail Pharmacy
8844-42
WI
3336C0004X
Compounding Pharmacy
263654
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116685
PK
—
Enumeration date
08/24/2008
Last updated
09/19/2025
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