Custom Prescription Shoppe LLC
NPI #1932288438 in Ferndale, Washington
Provider Information
- NPI Number
- 1932288438
- Entity Type
- Organization
- Organization Name
- Custom Prescription Shoppe LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Nov 3, 2006
- Last Updated
- Aug 1, 2024
Practice Location
- Address
- 5917 PORTAL WAY
- City
- Ferndale
- State
- Washington
- ZIP Code
- 98248-9361
- Phone
- (360) 685-4282
Authorized Official
- Name
- KEVIN FARIS
- Title
- CEO
- Phone
- (360) 685-4282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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