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Custom Pharmacy Innovations Inc
Compounding Pharmacy in Nicoma Park, Oklahoma
NPI 1073606240

Custom Pharmacy Innovations Inc is a Compounding Pharmacy based in Nicoma Park, OK and is specialized in Compounding Pharmacy. Custom Pharmacy Innovations Inc practices in Nicoma Park, OK. The NPI Number for Custom Pharmacy Innovations Inc is 1073606240 and holds a License No. (Oklahoma).

The current practice location address for Custom Pharmacy Innovations Inc is 10911 Ne 23Rd, Nicoma Park, OK and can be reached out via phone at 405-769-8585 and via fax at 405-769-8787.

Location: 10911 Ne 23Rd, Nicoma Park, OK, 73066-0489
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073606240
Provider Name
Custom Pharmacy Innovations Inc
Credential
Provider Entity Type
Organization
Address
10911 Ne 23Rd, Nicoma Park, OK, 73066-0489
Phone Number
405-769-8585
Fax Number
405-769-8787
Provider Enumeration Date
10/02/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2077070 01 PK
200095530A 05 OK
institution
Provider Business Practice Location Address Details
Address
10911 Ne 23Rd
City
Nicoma Park
State
Oklahoma
Zip
73066
Phone Number
405-769-8585
Fax Number
405-769-8787
person
Provider Business Mailing Address Details
Address
10911 Ne 23Rd
City
Nicoma Park
State
Oklahoma
Zip
73066
Phone Number
405-769-8585
Fax Number
405-769-8787
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
18135 (Oklahoma)
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
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 compounding practice.
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