Pharmacy Holding Company of Wisconsin LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PH25982 Issued in FL

Legal business name

PHARMACY HOLDING COMPANY OF WISCONSIN LLC

Doing business as

Americas Best Pet Pharmacy/Universal Compounders LLC

Practice address

1256 Old 51 S
Arbor Vitae, WI 54568-9793

Phone

(715) 358-4070

Fax

(715) 358-4072

NPI assigned

May 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cheryl Hull

Title

Owner/Member

Phone

(715) 358-4070

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Americas Best Pet Pharmacy/Universal Compounders LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1003175266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1968",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545681968",
            "telephone_number": "715-358-4070",
            "fax_number": "715-358-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 OLD 51 S",
            "city": "ARBOR VITAE",
            "state": "WI",
            "postal_code": "545689793",
            "telephone_number": "715-358-4070",
            "fax_number": "715-358-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY HOLDING COMPANY OF WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "715-358-4070"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "11215/7.1",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WI",
            "license": "9082-042",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH25982",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NE",
            "license": "696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5133169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Americas Best Pet Pharmacy/Universal Compounders LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Arbor Vitae, WI
• Providers in Arbor Vitae, WI by specialty
• Compounding Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.