Organization · Type 2 NPI

Custom RX Inc

Compounding Pharmacy · Wichita, KS

NPI number 1811091879 Active

Practice location

3510 N Ridge Rd Ste 900
Wichita, KS 67205-1225

Fax (316) 721-4823

Specialties and licenses

TaxonomyCodeLicense
Compounding Pharmacy 3336C0004XPH00004390 (NM)
Compounding Pharmacy 3336C0004X44645MS (ID)
Compounding Pharmacy 3336C0004X4477 (IA)
Compounding Pharmacy 3336C0004X054.019573 (IL)
Compounding Pharmacy 3336C0004X64001361A (IN)
Compounding Pharmacy 3336C0004X209867 (KS)
Compounding Pharmacy Primary 3336C0004XOS02495 (AR)
Compounding Pharmacy 3336C0004XPH17904 (FL)
Compounding Pharmacy 3336C0004X2012019217 (MO)
Compounding Pharmacy 3336C0004XPH02874 (NV)
Compounding Pharmacy 3336C0004X264830 (MN)
Compounding Pharmacy 3336C0004XPHNR000914 (GA)
Compounding Pharmacy 3336C0004XPHAR1497 (ND)
Compounding Pharmacy 3336C0004X758 (NE)
Compounding Pharmacy 3336C0004X13708 (NC)

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…

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About NPI 1811091879

Custom RX Inc's National Provider Identifier is 1811091879, issued on Sep 12, 2006. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Wichita, KS. The record was last updated on Jul 12, 2023.