| NPI | 1770376469 |
|---|---|
| Doing Business As | COLUMBUS CUSTOM RX PHARMACY COMPOUNDING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DONALD PRENTISS President 706-405-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |