Custom RX, PC
Compounding Pharmacy · Broken Bow, NE
Practice location
540 S 8TH Ave Ste BBroken Bow, NE 68822-2456
- Phone
- (308) 872-5602
- Fax
- (308) 872-2377
NPI record
- NPI
- 1790925725
- Entity type
- Organization (Type 2)
- Enumeration date
- March 3, 2009
- Last updated
- March 3, 2009
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X |
2818 | NE |
Authorized official
- Name
- Dr. Mike D. Holcomb, PHARMD
- Title
- Pharmacist/Owner
- Phone
- (308) 872-5602
About Custom RX, PC
Custom RX, PC is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 540 S 8TH Ave Ste B, Broken Bow, NE 68822-2456. The NPI number 1790925725 was assigned on March 3, 2009 and the record was last updated on March 3, 2009.
Custom RX, PC lists a license in the registry: #2818 (NE) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Mike D. Holcomb, PHARMD, Pharmacist/Owner.
Frequently asked questions
What is the NPI number of Custom RX, PC?
The NPI number is 1790925725.
What is the phone number of Custom RX, PC?
The phone number listed for the practice location is (308) 872-5602.
Where is Custom RX, PC located?
540 S 8TH Ave Ste B, Broken Bow, NE 68822-2456.
What is the taxonomy code for Custom RX, PC?
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.