Custom Medicine Pharmacenter

LBN: Custom Medicine Pharmacy Inc
Custom Medicine Pharmacenter is an health care organization with primary practice located at 25 Cabot St , Beverly MA 01915-5048. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Custom Medicine Pharmacy Inc can be contacted via phone (978) 524-4800, or through Beckman, William via phone (978) 524-4800.

Contact Information

Primary practice address
25 Cabot St Beverly MA 01915-5048
Phone: (978) 524-4800
Fax: (978) 524-4809
Website:
Map and Directions
Authorized official contact:
Name: Beckman, William RPH
Phone: (978) 524-4800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 3323 Massachusetts

Profile Details

NPI number 1053366898
LBN Legal business name Custom Medicine Pharmacy Inc
DBA Doing business as Custom Medicine Pharmacenter
Authorized official Beckman, William RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Dec 18th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053366898 NPPES
Other 2039566 PK

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