| NPI | 1689363434 |
|---|---|
| Doing Business As | COLUMBUS CUSTOM RX PHARMACY: COMPOUNDING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CHARITY CALHOUN WAGENTI Owner 706-405-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2024-03-12 |