Custom Pharmacy LLC

NPI #1942512330 in Mesa, Arizona

Provider Information

NPI Number: 1942512330
Entity Type: Organization
Organization Name: Custom Pharmacy LLC
Primary Specialty: Pharmacy - Compounding Pharmacy
Enumeration Date: Jul 14, 2010
Last Updated: Jul 14, 2010

Practice Location

Address: 4320 E BROWN RD
Address 2: SUITE 106
City: Mesa
State: Arizona
ZIP Code: 85205-4082
Phone: (480) 832-9008

Authorized Official

Name: MRS. KAREN KAY HARDMAN
Title: MAMAGER
Phone: (480) 832-9008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X	Primary

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