| NPI | 1699189134 |
|---|---|
| Doing Business As | CUSTOM CARE PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | VISHALI PATEL PIC/ Owner 661-319-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.018588) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2015-03-16 |