| NPI | 1134170764 |
|---|---|
| Doing Business As | CUSTOM-MED COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN E. HOLLAND President 864-855-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 039 04879 8) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |