Organization · Type 2 NPI
Custom Pharmacy Services LLC
Compounding Pharmacy · Duryea, PA
Practice location
517 Main St
Duryea, PA 18642-1323
Fax (888) 676-5833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X | PP482248 (PA) |
Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…
About NPI 1588939615
Custom Pharmacy Services LLC's National Provider Identifier is 1588939615, issued on Mar 22, 2012. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Duryea, PA. The record was last updated on May 29, 2015.