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A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Compounding Pharmacy |
3336C0004X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1104088020 |
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| LBN Legal business name | CUSTOM HEALTH PHARMACY INC | ||||||||
| Authorized official | JOHN SOWINSKI - (PHARMACIST/PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/01/2008 | ||||||||
| Last updated | 05/16/2016 - About 10 years ago | ||||||||
| Identifiers |
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CUSTOM HEALTH PHARMACY INC