Custom Care Pharmacy
LBN: Custom Care Pharmacy, Llc
Custom Care Pharmacy is an health care organization with primary practice located at 132 E Northside Dr Suite C, Clinton MS 39056-3415. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Custom Care Pharmacy, Llc can be contacted via phone (601) 488-4360, or through Moran, Marco via phone (318) 791-3765.
Contact Information
Primary practice address
132 E Northside Dr Suite C
Clinton MS 39056-3415
Phone: (601) 488-4360
Fax: (877) 747-5326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 07892/2.2 | Mississippi |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1730510074 |
|---|---|
| LBN Legal business name | Custom Care Pharmacy, Llc |
| DBA Doing business as | Custom Care Pharmacy |
| Authorized official | Moran, Marco |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 12th, 2013 |
| Last updated | Dec 12th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730510074 | NPPES |
| Other | 2143363 | PK |
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