| NPI | 1902128911 |
|---|---|
| Doing Business As | CUSTOM COMPOUNDING CENTERS |
| Entity Type | Organization |
| Authorized Contact | PAUL WHEELER PIC 714-824-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY 50368) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2014-01-14 |