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Custom Pharmacy Services Llc
Compounding Pharmacy in Duryea, Pennsylvania
NPI 1588939615

Custom Pharmacy Services Llc is a Compounding Pharmacy based in Duryea, PA and is specialized in Compounding Pharmacy. Custom Pharmacy Services Llc practices in Duryea, PA. The NPI Number for Custom Pharmacy Services Llc is 1588939615 and holds a License No. PP482248 (Pennsylvania).

The current practice location address for Custom Pharmacy Services Llc is 517 Main St, Duryea, PA and can be reached out via phone at 570-213-5561 and via fax at 888-676-5833.

Location: 517 Main St, Duryea, PA, 18642-1323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588939615
Provider Name
Custom Pharmacy Services Llc
Credential
Provider Entity Type
Organization
Address
517 Main St, Duryea, PA, 18642-1323
Phone Number
570-213-5561
Fax Number
888-676-5833
Provider Enumeration Date
03/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2135415 01 PK
institution
Provider Business Practice Location Address Details
Address
517 Main St
City
Duryea
State
Pennsylvania
Zip
18642-1323
Phone Number
570-213-5561
Fax Number
888-676-5833
person
Provider Business Mailing Address Details
Address
517 Main St
City
Duryea
State
Pennsylvania
Zip
18642-1323
Phone Number
570-213-5561
Fax Number
888-676-5833
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PP482248 (Pennsylvania)
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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