NPI | 1942512330 |
---|---|
Doing Business As | CUSTOM RX |
Entity Type | Organization |
Authorized Contact | KAREN KAY HARDMAN Mamager 480-832-9008 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ y005191) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2010-07-14 |