Custom Care Pharmacy, LLC
NPI #1730510074 in Clinton, Mississippi
Provider Information
- NPI Number
- 1730510074
- Entity Type
- Organization
- Organization Name
- Custom Care Pharmacy, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 12, 2013
- Last Updated
- Dec 12, 2013
Practice Location
- Address
- 132 E NORTHSIDE DR
- Address 2
- SUITE C
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-3415
- Phone
- (601) 488-4360
Authorized Official
- Name
- MARCO MORAN
- Title
- PHARMICIST-IN-CHARGE
- Phone
- (318) 791-3765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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