Custom Care Pharmacy

LBN: Custom Care Pharmacy, Llc
Custom Care Pharmacy is an health care organization with primary practice located at 132 E Northside Dr Suite C, Clinton MS 39056-3415. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Custom Care Pharmacy, Llc can be contacted via phone (601) 488-4360, or through Moran, Marco via phone (318) 791-3765.

Contact Information

Primary practice address
132 E Northside Dr Suite C Clinton MS 39056-3415
Phone: (601) 488-4360
Fax: (877) 747-5326
Website:
Map and Directions
Authorized official contact:
Name: Moran, Marco
Phone: (318) 791-3765

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 07892/2.2 Mississippi
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1730510074
LBN Legal business name Custom Care Pharmacy, Llc
DBA Doing business as Custom Care Pharmacy
Authorized official Moran, Marco
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2013
Last updated Dec 12th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730510074 NPPES
Other 2143363 PK

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