| NPI | 1366578114 |
|---|---|
| Doing Business As | CUSTOM PRESCRIPTION SHOPPE |
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM BROWN Owner Pharmacist 802-864-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VT 038-0002622) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |