Custom Rx Pharmacy
NPI #1023190774 in Los Angeles, California
Provider Information
- NPI Number
- 1023190774
- Entity Type
- Organization
- Organization Name
- Custom Rx Pharmacy
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Aug 24, 2009
Practice Location
- Address
- 731 1/2 N LA BREA AVE
- City
- Los Angeles
- State
- California
- ZIP Code
- 90038-3338
- Phone
- (323) 937-7879
Authorized Official
- Name
- MICHAEL IMANOEL
- Title
- PHARMACIST (PRESIDENT)
- Phone
- (323) 937-7879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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