Custom Rx Compounding Pharmacy in Richfield - Community/retail Pharmacy
Custom Rx Compounding Pharmacy - NPI 1093811689
Custom Rx Compounding Pharmacy is a Community/retail Pharmacy in Richfield, Minnesota. Custom Rx Compounding Pharmacy practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Custom Rx Compounding Pharmacy is 1093811689. The last update date is 2020-08-22.
Custom Rx Compounding Pharmacy's current location address is 6519 Nicollet Ave, Richfield, Minnesota. You can contact this provider via phone number 6128662211 and fax number 6128669217. The mailing address for Custom Rx Compounding Pharmacy is 6519 Nicollet Ave, Richfield, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Rx Compounding Pharmacy |
|---|---|
| Address | 6519 Nicollet Ave, Richfield, Minnesota |
| Phone Number | 6128662211 |
| Fax Number | 6128669217 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Betlach Verne |
| Credentials | R.PH., FIA |
| Telephone Number | 6128662211 |
NPI Number Detail
| NPI Number | 1093811689 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6519 Nicollet Ave |
|---|---|
| City | Richfield |
| State | Minnesota (MN) |
| Post Code | 554231669 |
| Phone Number | 6128662211 |
| Fax Number | 6128669217 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 261509-5 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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What is the unique identifier code issued to Custom Rx Compounding Pharmacy by the Centers for Medicare & Medicaid Services?
The Custom Rx Compounding Pharmacy has been assigned the NPI (National Provider Identifier) 1093811689. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Custom Rx Compounding Pharmacy located?
The Custom Rx Compounding Pharmacy is located at 6519 Nicollet Ave, Richfield, MN 554231669.
What is the Custom Rx Compounding Pharmacy's specialty and taxonomy code?
The Custom Rx Compounding Pharmacy's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093811689 to Custom Rx Compounding Pharmacy?
The Custom Rx Compounding Pharmacy received its 1093811689 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.
When was the Custom Rx Compounding Pharmacy's information last updated?
The Custom Rx Compounding Pharmacy's information was last updated on 2020-08-22.