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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CUSTOMCEUTICAL COMPOUNDING, LLC

Active Organization

CUSTOMCEUTICAL COMPOUNDING, LLC is a Long-Term Care Pharmacy organization located in PHOENIX, Arizona. NPI 1861782856 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · PHOENIX, AZ

Registration Details

NPI Number
1861782856
Provider Type
Organization
NPI Issued
Apr 12, 2011 (15.370030282947 yrs)
Last Updated
Aug 29, 2018
Licenses
Y005317 (AZ)
Y005317 (AZ)

Practice Information

Address
4611 E SHEA BLVD
BLDG 3, STE 180
PHOENIX, AZ, 85028
Browse AZ providers · Browse ZIP 85028
Phone
4805160272
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in PHOENIX, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.