Custom Rx Compounding Pharmacy

NPI #1093811689 in Richfield, Minnesota

Provider Information

NPI Number
1093811689
Entity Type
Organization
Organization Name
Custom Rx Compounding Pharmacy
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 15, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
6519 NICOLLET AVE
Address 2
SUITE 201
ZIP Code
55423-1669
Phone
(612) 866-2211

Authorized Official

Name
DR. VERNE BETLACH, R.PH., FIACP
Title
PHARMACIST
Phone
(612) 866-2211

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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