| NPI | 1811091879 |
|---|---|
| Doing Business As | CUSTOM RX PHARMACY & WELLNESS CONCEPTS |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS L BRANAM Pharmacist In Charge 316-721-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AR OS02495) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NM PH00004390) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: ID 44645MS) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IA 4477) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IL 054.019573) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IN 64001361A) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NV PH02874) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MN 264830) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: GA PHNR000914) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: ND Phar1497) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KS 209867) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH17904) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MO 2012019217) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NE 758) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NC 13708) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-07-12 |