Custom Rx, Pc

LBN: Custom Rx, Pc
Custom Rx, Pc is an health care organization with primary practice located at 540 S 8Th Ave Ste B , Broken Bow NE 68822-2456. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Custom Rx, Pc can be contacted via phone (308) 872-5602, or through Holcomb, Mike D. via phone (308) 872-5602.

Contact Information

Primary practice address
540 S 8Th Ave Ste B Broken Bow NE 68822-2456
Phone: (308) 872-5602
Fax: (308) 872-2377
Website:
Map and Directions
Authorized official contact:
Name: Holcomb, Mike D. PHARMD
Phone: (308) 872-5602

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 2818 Nebraska

Profile Details

NPI number 1790925725
LBN Legal business name Custom Rx, Pc
DBA Doing business as
Authorized official Holcomb, Mike D. PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2009
Last updated Mar 3rd, 2009 - about 17 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 1790925725 NPPES
Nebraska Other 2816265 NCPDP

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