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MIXLAB WI, LLC
NPI 1932925633
Pharmacy in Milwaukee, WI

Active since November 26, 2024
407 W SILVER SPRING DR, MILWAUKEE, WI 53217(888) 901-4480(212) 967-0892 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mixlab Wi, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIXLAB WI, LLC (NPI 1932925633) is a healthcare organization registered as a pharmacy in Milwaukee, Wisconsin and active in the NPI registry since November 2024. The organization lists Vinnie Dam, Chief Pharmacy Officer, as its authorized official.

NPPES Registry Identity

NPI1932925633
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMIXLAB WI, LLC
Location Address407 W SILVER SPRING DRMilwaukee, WI 53217-5048
Mailing Address407 W Silver Spring DrMilwaukee, WI 53217-5048 · (888) 901-4480 · Fax (212) 967-0892
Phone(888) 901-4480
Fax(212) 967-0892
Organization SubpartYesParent: Mixlab, Inc.
Authorized OfficialVinnie DamChief Pharmacy Officer · (347) 610-9820
Enumeration DateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1932925633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
407 W SILVER SPRING DR, Milwaukee, WI 53217
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE PET APOTHECARY
Pharmacy (Community/Retail Pharmacy)
407 W SILVER SPRING DR
MILWAUKEE, WI 53217
Milwaukee County (414) 247-8633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mixlab Wi, LLC's NPI number?

The NPI number for Mixlab Wi, LLC is 1932925633. It was assigned to this organization in the NPPES registry on November 26, 2024.

Where is Mixlab Wi, LLC located?

Mixlab Wi, LLC is located at 407 W Silver Spring Dr, Milwaukee, WI 53217. The listed phone number is (888) 901-4480.

What is Mixlab Wi, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Mixlab Wi, LLC was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.