PHARMACY HOLDING COMPANY OF WISCONSIN LLC (NPI# 1003175266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003175266 |
| Entity Type | Organization |
| Organization Name | PHARMACY HOLDING COMPANY OF WISCONSIN LLC |
| Other Organization Name | AMERICAS BEST PET PHARMACY/UNIVERSAL COMPOUNDERS LLC |
| Practice Address |
1256 Old 51 S Arbor Vitae WI 54568-9793 |
| Mailing Address |
Po Box 1968 Woodruff WI 54568-1968 |
| Practice Telephone | 7153584070 |
| Practice Fax Number | 7153584072 |
| Mailing Telephone | 7153584070 |
| Mailing Fax Number | 7153584072 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2013-02-22 |
| Authorized Official Name | CHERYL HULL (OWNER/MEMBER) |
| Authorized Official Telephone | 7153584070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 11215/7.1 | MS | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
9082-042 | WI | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
696 | NE | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PH25982 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5133169 | 01 |
| Other Name | Type Code |
|---|---|
| Americas Best Pet Pharmacy/Universal Compounders LLC | Doing Business As Name - Organization |
| Street Address |
1256 OLD 51 S |
| City | ARBOR VITAE |
| State | WI |
| Zip Code | 54568-9793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393226 | Heidi Ann Pritzl | Social Worker | 240 Maple St., Woodruff, WI 54568 | 2016-05-10 |
| 1295098523 | Christine Liesen John J Pinzl Dds Sc | Dentist | 240 Oak Street, Woodruff, WI 54568 | 2012-06-21 |
| 1598072191 | Jodi L Metropulos | Dental Hygienist | 8815 Cty Rd J, Woodruff, WI 54568 | 2010-09-03 |
| 1033367438 | Robert M Borger | Pharmacist | 1143 West Highway 47, Post Office Box 1992, Woodruff, WI 54568 | 2008-08-28 |
| 1316135973 | William Chad Mcgrath | Counselor | 311 Elm Street, Woodruff, WI 54568 | 2007-10-09 |
| 1851583629 | Island Pharmacy Services, Inc. | Pharmacy | 1256 Old Highway 51 South, Arbor Vitae, WI 54568 | 2007-08-15 |
| 1881817161 | Achilles Foot and Ankle Clinic Sc | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1427187053 | Jennifer A Vojta | Specialist/Technologist | 1446 Hwy 47, Woodruff, WI 54568 | 2007-03-02 |
| 1336294669 | Kati L Havel | Chiropractor | 521 Hemlock St., Woodruff, WI 54568 | 2007-01-25 |
| 1275697773 | John J Pinzl | Dentist | 1105 4th Ave, Woodruff, WI 54568 | 2006-12-20 |
| Find all providers in zip 54568 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821489931 | Midtown Pharmacy Sc | Pharmacy | 7235 W Appleton Ave Ste 101, Milwaukee, WI 53216-1932 | 2015-02-11 |
| 1255766580 | Sanford Care Services, Inc | Pharmacy | 2423 E Clairemont Ave, Eau Claire, WI 54701-6724 | 2013-09-05 |
| 1487997235 | Iv Compound Center of Wisconsin LLC | Pharmacy | 5478 S Westridge Dr, New Berlin, WI 53151-7948 | 2013-03-30 |
| 1396049706 | Ltc Rx Inc | Pharmacy | 13 E Spruce St Ste 102, Chippewa Falls, WI 54729-2579 | 2010-12-28 |
| 1700025707 | Allergychoices Inc | Pharmacy | 2731 National Dr, Onalaska, WI 54650-8784 | 2009-02-13 |
| 1811043870 | Women's International Pharmacy | Pharmacy | 2 Marsh Ct, Madison, WI 53718-8805 | 2007-01-25 |
| 1871679530 | Waukesha Prescription Center Ltd | Pharmacy | 501 S. Grand Ave., Waukesha, WI 53186 | 2006-10-27 |
| 1386756203 | Manitowoc Pharmacies Inc | Pharmacy | 630 Fremont St, Kiel, WI 53042-1321 | 2006-08-31 |
| 1578109161 | Aurora Pharmacy Inc | Pharmacy | 210 S Pine St, Burlington, WI 53105-1914 | 2019-11-19 |
| 1891132999 | Thrive Health Center Pharmacy | Pharmacy | 831 Critter Ct, Suite 300, Onalaska, WI 54650-8674 | 2013-05-29 |
| Find all providers with the same taxonomy | ||||
| City | ARBOR VITAE |
| Zip Code | 54568 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.