Custom Pharmacy of North Augusta

NPI #1790316719 in North Augusta, South Carolina

Provider Information

NPI Number
1790316719
Entity Type
Organization
Organization Name
Custom Pharmacy of North Augusta
Primary Specialty
Pharmacy
Enumeration Date
Jan 29, 2020
Last Updated
Jan 29, 2020

Practice Location

Address
401 W MARTINTOWN RD STE 153
ZIP Code
29841-6135
Phone
(803) 693-5514

Authorized Official

Name
FRANCES MORGAN FORDHAM BLANTON, PHARMD
Title
PHARMACIST IN CHARGE/ CO-OWNER
Phone
(706) 945-8351

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy

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