Custom Care Pharmacy, LLC
Community/Retail Pharmacy · Clinton, MS
Practice location
132 E Northside DrSuite C
Clinton, MS 39056-3415
- Phone
- (601) 488-4360
- Fax
- (877) 747-5326
NPI record
- NPI
- 1730510074
- Entity type
- Organization (Type 2)
- Enumeration date
- December 12, 2013
- Last updated
- December 12, 2013
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
07892/2.2 | MS |
| Pharmacy | 333600000X |
— | — |
| Compounding Pharmacy | 3336C0004X |
— | — |
| Specialty Pharmacy | 3336S0011X |
— | — |
Authorized official
- Name
- Marco Moran
- Title
- Pharmicist-In-Charge
- Phone
- (318) 791-3765
Other names
- Custom Care Pharmacy
About Custom Care Pharmacy, LLC
Custom Care Pharmacy, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 132 E Northside Dr, Suite C, Clinton, MS 39056-3415. The NPI number 1730510074 was assigned on December 12, 2013 and the record was last updated on December 12, 2013.
Custom Care Pharmacy, LLC lists a license in the registry: #07892/2.2 (MS) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Marco Moran, Pharmicist-In-Charge.
Frequently asked questions
What is the NPI number of Custom Care Pharmacy, LLC?
The NPI number is 1730510074.
What is the phone number of Custom Care Pharmacy, LLC?
The phone number listed for the practice location is (601) 488-4360.
Where is Custom Care Pharmacy, LLC located?
132 E Northside Dr, Suite C, Clinton, MS 39056-3415.
What is the taxonomy code for Custom Care Pharmacy, LLC?
The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 3 more listed above.
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.
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