Custom Prescription Shoppe LLC
NPI #1912739590 in Ferndale, Washington
Provider Information
- NPI Number
- 1912739590
- Entity Type
- Organization
- Organization Name
- Custom Prescription Shoppe LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 14, 2024
- Last Updated
- Aug 14, 2024
Practice Location
- Address
- 5917 PORTAL WAY
- City
- Ferndale
- State
- Washington
- ZIP Code
- 98248-9361
- Phone
- (360) 685-4282
Authorized Official
- Name
- KEVIN FARIS, RPH
- Title
- CEO
- Phone
- (360) 685-4282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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