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Custom Made Pharmacy Inc
Compounding Pharmacy in Sherman Oaks, California
NPI 1932231560

Custom Made Pharmacy Inc is a Compounding Pharmacy based in Sherman Oaks, CA and is specialized in Compounding Pharmacy. Custom Made Pharmacy Inc practices in Sherman Oaks, CA. The NPI Number for Custom Made Pharmacy Inc is 1932231560 and holds a License No. 48534 (California).

The current practice location address for Custom Made Pharmacy Inc is 13322 Riverside Dr, Sherman Oaks, CA and can be reached out via phone at 818-789-8111 and via fax at 818-789-6548.

Location: 13322 Riverside Dr, Sherman Oaks, CA, 91423-2509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932231560
Provider Name
Custom Made Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
13322 Riverside Dr, Sherman Oaks, CA, 91423-2509
Phone Number
818-789-8111
Fax Number
818-789-6548
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5626289 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
13322 Riverside Dr
City
Sherman Oaks
State
California
Zip
91423-2509
Phone Number
818-789-8111
Fax Number
818-789-6548
person
Provider Business Mailing Address Details
Address
13322 Riverside Dr
City
Sherman Oaks
State
California
Zip
91423-2509
Phone Number
818-789-8111
Fax Number
818-789-6548
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
48534 (California)
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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