institution
Custom Pharmacy Llc
Compounding Pharmacy in Mesa, Arizona
NPI 1942512330

Custom Pharmacy Llc is a Compounding Pharmacy based in Mesa, AZ and is specialized in Compounding Pharmacy. Custom Pharmacy Llc practices in Mesa, AZ. The NPI Number for Custom Pharmacy Llc is 1942512330 and holds a License No. Y005191 (Arizona).

The current practice location address for Custom Pharmacy Llc is 4320 E Brown Rd, Mesa, AZ and can be reached out via phone at 480-832-9008 and via fax at 480-832-9167. You can also correspond with Custom Pharmacy Llc through the mailing address at 4320 E BROWN RD, MESA, AZ - 85205-4082 (mailing address contact number: 480-832-9008).

Location: 4320 E Brown Rd, Mesa, AZ, 85205-4082
institution
Provider Profile Details
NPI Number
1942512330
Provider Name
Custom Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
4320 E Brown Rd, Mesa, AZ, 85205-4082
Phone Number
480-832-9008
Fax Number
480-832-9167
Provider Enumeration Date
07/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4320 E Brown Rd
City
State
Zip
85205-4082
Phone Number
480-832-9008
Fax Number
480-832-9167
person
Provider Business Mailing Address Details
Address
4320 E Brown Rd
City
State
Zip
85205-4082
Phone Number
480-832-9008
Fax Number
480-832-9167
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
Y005191 (Arizona)
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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