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Custom Care Pharmacy Llc
Compounding Pharmacy in Jersey Village, Texas
NPI 1861935389

Custom Care Pharmacy Llc is a Compounding Pharmacy based in Jersey Village, TX and is specialized in Compounding Pharmacy. Custom Care Pharmacy Llc practices in Jersey Village, TX. The NPI Number for Custom Care Pharmacy Llc is 1861935389 and holds a License No. (Texas).

The current practice location address for Custom Care Pharmacy Llc is 20320 Northwest Fwy Ste 300, Jersey Village, TX and can be reached out via phone at 832-688-9666 and via fax at 832-604-7291.

Location: 20320 Northwest Fwy Ste 300, Jersey Village, TX, 77065-5643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861935389
Provider Name
Custom Care Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
20320 Northwest Fwy Ste 300, Jersey Village, TX, 77065-5643
Phone Number
832-688-9666
Fax Number
832-604-7291
Provider Enumeration Date
12/01/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
394653501 05 TX
7656600001 01 DME POS
2166614 01 PK
institution
Provider Business Practice Location Address Details
Address
20320 Northwest Fwy Ste 300
City
Jersey Village
State
Texas
Zip
77065-5643
Phone Number
832-688-9666
Fax Number
832-604-7291
person
Provider Business Mailing Address Details
Address
20320 Northwest Fwy Ste 300
City
Jersey Village
State
Texas
Zip
77065-5643
Phone Number
832-688-9666
Fax Number
832-604-7291
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.
31300 (Texas)
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.
()
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.
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