<Unavail>

LBN: Kustom Wellness, Inc
<Unavail> is an health care organization with primary practice located at 4550 Donald Ross Rd Ste 113 , Palm Beach Gardens FL 33418-5104. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Kustom Wellness, Inc can be contacted via phone (561) 469-1558, or through Kirkpatrick, Tracy via phone (561) 469-1558.

Contact Information

Primary practice address
4550 Donald Ross Rd Ste 113 Palm Beach Gardens FL 33418-5104
Fax:
Website:
Authorized official contact:
Name: Kirkpatrick, Tracy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1710403043
LBN Legal business name Kustom Wellness, Inc
DBA Doing business as <Unavail>
Authorized official Kirkpatrick, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2017
Last updated Jul 21st, 2022 - about 4 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.

Request for update

Popular Providers