Organization · Type 2 NPI

Custom Pharmacy LLC

Compounding Pharmacy · Mesa, AZ

NPI number 1942512330 Active

Practice location

4320 E Brown Rd, Suite 106
Mesa, AZ 85205-4082

Fax (480) 832-9167

Specialties and licenses

Taxonomy	Code	License
Compounding Pharmacy Primary	3336C0004X	Y005191 (AZ)

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 1942512330

Custom Pharmacy LLC's National Provider Identifier is 1942512330, issued on Jul 14, 2010. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Mesa, AZ. The record was last updated on Jul 14, 2010.