Organization · Type 2 NPI

Custom Pharmacy Innovations Inc

Long Term Care Pharmacy · Oklahoma City, OK

NPI number 1740101807 Active

Practice location

10911 NE 23rd St
Oklahoma City, OK 73141-6029

Fax (405) 769-8787

Mailing address

PO Box 489
Nicoma Park, OK 73066-0489

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003XNone listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1740101807

Custom Pharmacy Innovations Inc's National Provider Identifier is 1740101807, issued on Jul 23, 2026. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 24, 2026.