Custom RX LLC
Compounding Pharmacy · Richfield, MN
Practice location
6519 Nicollet AveSte 201
Richfield, MN 55423-1669
- Phone
- (612) 866-2211
- Fax
- (612) 866-9217
NPI record
- NPI
- 1922328657
- Entity type
- Organization (Type 2)
- Enumeration date
- June 4, 2010
- Last updated
- June 4, 2010
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X |
263528 | MN |
Authorized official
- Name
- Mr. Roy David Katz, R.PH.
- Title
- Owner
- Phone
- (612) 866-2211
Other names
- Custom Rx Compounding Pharmacy
About Custom RX LLC
Custom RX LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 6519 Nicollet Ave, Ste 201, Richfield, MN 55423-1669. The NPI number 1922328657 was assigned on June 4, 2010 and the record was last updated on June 4, 2010.
Custom RX LLC lists a license in the registry: #263528 (MN) 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. Roy David Katz, R.PH., Owner.
Frequently asked questions
What is the NPI number of Custom RX LLC?
The NPI number is 1922328657.
What is the phone number of Custom RX LLC?
The phone number listed for the practice location is (612) 866-2211.
Where is Custom RX LLC located?
6519 Nicollet Ave, Ste 201, Richfield, MN 55423-1669.
What is the taxonomy code for Custom RX 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.