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Custom Compounds Inc
Specialty Pharmacy in Norfolk, Virginia
NPI 1447276571

Custom Compounds Inc is a Specialty Pharmacy based in Norfolk, VA and is specialized in Specialty Pharmacy. Custom Compounds Inc practices in Norfolk, VA. The NPI Number for Custom Compounds Inc is 1447276571 and holds a License No. (Virginia).

The current practice location address for Custom Compounds Inc is 400 Gresham Dr, Norfolk, VA and can be reached out via phone at 757-622-0222 and via fax at 757-623-9010.

Location: 400 Gresham Dr, Norfolk, VA, 23507-1901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447276571
Provider Name
Custom Compounds Inc
Credential
Provider Entity Type
Organization
Address
400 Gresham Dr, Norfolk, VA, 23507-1901
Phone Number
757-622-0222
Fax Number
757-623-9010
Provider Enumeration Date
07/14/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4808222 01 NCPDP PROVIDER IDENTIFICATION NUMBER
8515999 05 VA
institution
Provider Business Practice Location Address Details
Address
400 Gresham Dr
City
Norfolk
State
Virginia
Zip
23507-1901
Phone Number
757-622-0222
Fax Number
757-623-9010
person
Provider Business Mailing Address Details
Address
400 Gresham Dr
City
Norfolk
State
Virginia
Zip
23507-1901
Phone Number
757-622-0222
Fax Number
757-623-9010
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
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 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
0201002286 (Virginia)
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 4
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.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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