Custom Compounding LLC
Compounding Pharmacy · Kent, CT
Practice location
3 Maple StKent, CT 06757-1711
- Phone
- (866) 606-0440
NPI record
- NPI
- 1376840785
- Entity type
- Organization (Type 2)
- Enumeration date
- February 21, 2011
- Last updated
- February 21, 2011
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X |
PCY1921 | CT |
Mailing address
3 Maple StPO Box 632
Kent, CT 06757-1711
- Phone
- (866) 606-0440
Authorized official
- Name
- Mr. Peter B Daprile, RPH, MBA
- Title
- Member
- Phone
- (866) 606-0440
About Custom Compounding LLC
Custom Compounding LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 3 Maple St, Kent, CT 06757-1711. The NPI number 1376840785 was assigned on February 21, 2011 and the record was last updated on February 21, 2011.
Custom Compounding LLC lists a license in the registry: #PCY1921 (CT) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Mr. Peter B Daprile, RPH, MBA, Member.
Frequently asked questions
What is the NPI number of Custom Compounding LLC?
The NPI number is 1376840785.
What is the phone number of Custom Compounding LLC?
The phone number listed for the practice location is (866) 606-0440.
Where is Custom Compounding LLC located?
3 Maple St, Kent, CT 06757-1711.
What is the taxonomy code for Custom Compounding LLC?
The primary taxonomy code is 3336C0004X – Compounding Pharmacy.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.