Organization · Type 2 NPI

Customceutical Compounding, LLC

Community/Retail Pharmacy · Phoenix, AZ

NPI number 1861782856 Active

Practice location

4611 E Shea Blvd, Bldg 3, Ste 180
Phoenix, AZ 85028

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy Primary 3336C0003XY005317 (AZ)
Compounding Pharmacy 3336C0004XY005317 (AZ)

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 …

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About NPI 1861782856

Customceutical Compounding, LLC's National Provider Identifier is 1861782856, issued on Apr 12, 2011. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 29, 2018.