Custom Compounding LLC
NPI #1376840785 in Kent, Connecticut
Provider Information
- NPI Number
- 1376840785
- Entity Type
- Organization
- Organization Name
- Custom Compounding LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Feb 21, 2011
- Last Updated
- Feb 21, 2011
Practice Location
- Address
- 3 MAPLE ST
- City
- Kent
- State
- Connecticut
- ZIP Code
- 06757-1711
- Phone
- (866) 606-0440
Authorized Official
- Name
- MR. PETER B DAPRILE, RPH, MBA
- Title
- MEMBER
- Phone
- (866) 606-0440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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