| NPI | 1730510074 |
|---|---|
| Doing Business As | CUSTOM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARCO MORAN Pharmicist In Charge 318-791-3765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 07892/2.2) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |