Organization · Type 2 NPI
Custom Pharmacy Innovations Inc
Community/Retail Pharmacy · Nicoma Park, OK
Practice location
10911 NE 23rd
Nicoma Park, OK 73066
Fax (405) 769-8787
Mailing address
PO Box 489
Nicoma Park, OK 73066-0489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Community/Retail Pharmacy Primary | 3336C0003X | 18135 (OK) |
| Compounding Pharmacy | 3336C0004X | None listed |
Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …
About NPI 1073606240
Custom Pharmacy Innovations Inc's National Provider Identifier is 1073606240, issued on Oct 2, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Nicoma Park, OK. The record was last updated on Oct 28, 2025.