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Custom Rx Inc
Compounding Pharmacy in Wichita, Kansas
NPI 1811091879

Custom Rx Inc is a Compounding Pharmacy based in Wichita, KS and is specialized in Compounding Pharmacy. Custom Rx Inc practices in Wichita, KS. The NPI Number for Custom Rx Inc is 1811091879 and holds a License No. PH00004390 (Kansas).

The current practice location address for Custom Rx Inc is 3510 N Ridge Rd Ste 900, Wichita, KS and can be reached out via phone at 316-721-2626 and via fax at 316-721-4823.

Location: 3510 N Ridge Rd Ste 900, Wichita, KS, 67205-1225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811091879
Provider Name
Custom Rx Inc
Credential
Provider Entity Type
Organization
Address
3510 N Ridge Rd Ste 900, Wichita, KS, 67205-1225
Phone Number
316-721-2626
Fax Number
316-721-4823
Provider Enumeration Date
09/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2027079 01 PK
100445230C 05 KS
institution
Provider Business Practice Location Address Details
Address
3510 N Ridge Rd Ste 900
City
Wichita
State
Kansas
Zip
67205-1225
Phone Number
316-721-2626
Fax Number
316-721-4823
person
Provider Business Mailing Address Details
Address
3510 N Ridge Rd Ste 900
City
Wichita
State
Kansas
Zip
67205-1225
Phone Number
316-721-2626
Fax Number
316-721-4823
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PH00004390 (New Mexico)
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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