Custom Rx INC

NPI #1811091879 in Wichita, Kansas

Provider Information

NPI Number
1811091879
Entity Type
Organization
Organization Name
Custom Rx INC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Sep 12, 2006
Last Updated
Jul 12, 2023

Practice Location

Address
3510 N RIDGE RD STE 900
State
Kansas
ZIP Code
67205-1225
Phone
(316) 721-2626

Authorized Official

Name
DR. NICHOLAS L BRANAM, PHARM.D.
Title
PHARMACIST IN CHARGE
Phone
(316) 721-2626

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy

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