| NPI | 1588014880 |
|---|---|
| Doing Business As | VERTISIS CUSTOM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRIAN HARRISON Pharmacy Manager 888-285-5841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ Y007042) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2017-02-23 |