| NPI | 1427268655 |
|---|---|
| Doing Business As | CUSTOM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JESSICA K HAVEL Program Manager Retail Pharmacy 319-369-7403 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 1321) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 1321) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-11-03 |