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Pharmacy Compounding LLC.

NPI 1104517176ActiveOrganization· Pharmacy, Compounding Pharmacy· West Salem, WI

Pharmacy, Compounding Pharmacy in West Salem, Wisconsin, registered in NPPES in May 2023. The authorized official on file is Thomas Brieske, Owner.

Overview

NPI1104517176
StatusActive
Entity typeOrganization
NPI issuedMay 18, 2023
Last updated in NPPESMay 18, 2023
Certified by providerMay 18, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Compounding Pharmacy Primary3336C0004X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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