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Custom Rx, Pc
Compounding Pharmacy in Broken Bow, Nebraska
NPI 1790925725

Custom Rx, Pc is a Compounding Pharmacy based in Broken Bow, NE and is specialized in Compounding Pharmacy. Custom Rx, Pc practices in Broken Bow, NE. The NPI Number for Custom Rx, Pc is 1790925725 and holds a License No. 2818 (Nebraska).

The current practice location address for Custom Rx, Pc is 540 S 8Th Ave Ste B, Broken Bow, NE and can be reached out via phone at 308-872-5602 and via fax at 308-872-2377.

Location: 540 S 8Th Ave Ste B, Broken Bow, NE, 68822-2456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790925725
Provider Name
Custom Rx, Pc
Credential
Provider Entity Type
Organization
Address
540 S 8Th Ave Ste B, Broken Bow, NE, 68822-2456
Phone Number
308-872-5602
Fax Number
308-872-2377
Provider Enumeration Date
03/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2816265 01 NE NCPDP
institution
Provider Business Practice Location Address Details
Address
540 S 8Th Ave Ste B
City
Broken Bow
State
Nebraska
Zip
68822-2456
Phone Number
308-872-5602
Fax Number
308-872-2377
person
Provider Business Mailing Address Details
Address
540 S 8Th Ave Ste B
City
Broken Bow
State
Nebraska
Zip
68822-2456
Phone Number
308-872-5602
Fax Number
308-872-2377
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
2818 (Nebraska)
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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