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Custom Rx Llc
Compounding Pharmacy in Richfield, Minnesota
NPI 1922328657

Custom Rx Llc is a Compounding Pharmacy based in Richfield, MN and is specialized in Compounding Pharmacy. Custom Rx Llc practices in Richfield, MN. The NPI Number for Custom Rx Llc is 1922328657 and holds a License No. 263528 (Minnesota).

The current practice location address for Custom Rx Llc is 6519 Nicollet Ave, Richfield, MN and can be reached out via phone at 612-866-2211 and via fax at 612-866-9217.

Location: 6519 Nicollet Ave, Richfield, MN, 55423-1669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922328657
Provider Name
Custom Rx Llc
Credential
Provider Entity Type
Organization
Address
6519 Nicollet Ave, Richfield, MN, 55423-1669
Phone Number
612-866-2211
Fax Number
612-866-9217
Provider Enumeration Date
06/04/2010
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
6519 Nicollet Ave
City
Richfield
State
Minnesota
Zip
55423-1669
Phone Number
612-866-2211
Fax Number
612-866-9217
person
Provider Business Mailing Address Details
Address
6519 Nicollet Ave
City
Richfield
State
Minnesota
Zip
55423-1669
Phone Number
612-866-2211
Fax Number
612-866-9217
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
263528 (Minnesota)
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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