IV COMPOUND CENTER OF WISCONSIN LLC
Suppliers at Westridge Dr, Waukesha, WI

License number
Wisconsin 8543-042
Category
Suppliers
Type
Compounding Pharmacy
Owner
Name: MR. DONALD STEVEN KOSHAK RPH
Title: OWNER
Phone: (262) 641-2850
Address
Address
5478 S Westridge Dr, Waukesha, WI 53151
National Provider ID: 1487997235
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about IV COMPOUND CENTER OF WISCONSIN LLC at bizstanding.com

IV COMPOUND CENTER OF WISCONSIN, LLC

5478 S Westridge Dr, New Berlin, WI 53151

Status:
Inactive
Industry:
Individual/Family Services
Doing business as:
IV Compound Center of
Registration:
Dec 13, 2005
State ID:
I022782
Business type:
Domestic Limited Liability Company
Principal:
Donald Koshak Principal, inactive

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