CUSTOM MEDICINE PHARMACY INC NPI 1053366898

NPI Information

CUSTOM MEDICINE PHARMACY INC is a compounding pharmacy pharmacy in Beverly, MA. The provider is 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. CUSTOM MEDICINE PHARMACY INC NPI is 1053366898. The provider is registered as an organization entity type.
The provider Is Doing Business As Custom Medicine Pharmacenter.

The provider's business location address is:

25 CABOT ST
BEVERLY, MA
ZIP 01915-048
Phone: (978) 524-4800
Fax: (978) 524-4809

The provider's authorized official is William Beckman .
The authorized official title is President and has the following contact phone number (978) 524-4800.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 12/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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