| NPI | 1720576085 |
|---|---|
| Doing Business As | CUSTOMRX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RYAN DELVAUX Managing Member/Owner 631-374-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2026-01-16 |