| NPI | 1053366898 |
|---|---|
| Doing Business As | CUSTOM MEDICINE PHARMACENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BECKMAN President 978-524-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MA 3323) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-12-18 |