Customprescription

NPI #1578848149 in Columbus, Ohio

Provider Information

NPI Number
1578848149
Entity Type
Organization
Organization Name
Customprescription
Primary Specialty
Pharmacist
Enumeration Date
Oct 14, 2011
Last Updated
Oct 14, 2011

Practice Location

Address
1620 E BROAD ST APT 1005
State
Ohio
ZIP Code
43203-2027
Phone
(614) 397-6687

Authorized Official

Name
MR. SRIKANTH M SHIVAKUMAR, M.PHARM,RPH
Title
PRESIDENT
Phone
(614) 397-6687

Specialties & Taxonomy Codes

Specialty
Pharmacist

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