Md Custom Rx
LBN: Brookfield Prescription Center Inc
Md Custom Rx is an health care organization with primary practice located at 19035 W Capitol Dr , Brookfield WI 53045-2755. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Brookfield Prescription Center Inc can be contacted via phone (262) 373-1050, or through Zatarski, Monica via phone (262) 373-1050.
Contact Information
Primary practice address
19035 W Capitol Dr
Brookfield WI 53045-2755
Phone: (262) 373-1050
Fax: (262) 373-1053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 5301010339 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8844-42 | Wisconsin |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054017646 | Illinois |
| Suppliers / Compounding Pharmacy | 3336C0004X | 263654 | Minnesota |
Profile Details
| NPI number | 1912154774 |
|---|---|
| LBN Legal business name | Brookfield Prescription Center Inc |
| DBA Doing business as | Md Custom Rx |
| Authorized official | Zatarski, Monica |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2008 |
| Last updated | Jul 19th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912154774 | NPPES |
| Other | 2116685 | PK |
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