Custom Medicine Pharmacenter
LBN: Custom Medicine Pharmacy Inc
Custom Medicine Pharmacenter is an health care organization with primary practice located at 25 Cabot St , Beverly MA 01915-5048. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty.
Custom Medicine Pharmacy Inc can be contacted via phone (978) 524-4800, or through Beckman, William via phone (978) 524-4800.
Contact Information
Primary practice address
25 Cabot St
Beverly MA 01915-5048
Phone: (978) 524-4800
Fax: (978) 524-4809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | 3323 | Massachusetts |
Profile Details
| NPI number | 1053366898 |
|---|---|
| LBN Legal business name | Custom Medicine Pharmacy Inc |
| DBA Doing business as | Custom Medicine Pharmacenter |
| Authorized official | Beckman, William RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Dec 18th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053366898 | NPPES |
| Other | 2039566 | PK |
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