| NPI | 1942343397 |
|---|---|
| Doing Business As | CUSTOM COMPOUNDING CENTER OF ARKANSAS |
| Entity Type | Organization |
| Authorized Contact | MARK WAYNE SHINABERY Manager.Owner 501-217-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR AR7501) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2013-01-30 |