Custom Rx, PC
NPI #1790925725 in Broken Bow, Nebraska
Provider Information
- NPI Number
- 1790925725
- Entity Type
- Organization
- Organization Name
- Custom Rx, PC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Mar 3, 2009
- Last Updated
- Mar 3, 2009
Practice Location
- Address
- 540 S 8TH AVE STE B
- City
- Broken Bow
- State
- Nebraska
- ZIP Code
- 68822-2456
- Phone
- (308) 872-5602
Authorized Official
- Name
- DR. MIKE D. HOLCOMB, PHARMD
- Title
- PHARMACIST/OWNER
- Phone
- (308) 872-5602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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