| 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 |