Custom Pharmacy Innovations Inc in Nicoma Park - Community/retail Pharmacy
Custom Pharmacy Innovations Inc - NPI 1073606240
Custom Pharmacy Innovations Inc is a Community/retail Pharmacy in Nicoma Park, Oklahoma. Custom Pharmacy Innovations Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Custom Pharmacy Innovations Inc is 1073606240. The last update date is 2018-04-24.
Custom Pharmacy Innovations Inc's current location address is Po Box 489, Nicoma Park, Oklahoma. You can contact this provider via phone number 4057698585 and fax number 4057698787. The mailing address for Custom Pharmacy Innovations Inc is Po Box 489, Nicoma Park, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Pharmacy Innovations Inc |
|---|---|
| Address | Po Box 489, Nicoma Park, Oklahoma |
| Phone Number | 4057698585 |
| Fax Number | 4057698787 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blomgren John |
| Credentials | D.PH. |
| Telephone Number | 4057698585 |
NPI Number Detail
| NPI Number | 1073606240 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2018-04-24 |
Provider Mailing Address Detail
| Address | Po Box 489 |
|---|---|
| City | Nicoma Park |
| State | Oklahoma (OK) |
| Post Code | 730660489 |
| Phone Number | 4057698585 |
| Fax Number | 4057698787 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 18135 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2077070 | PK | ||
| 200095530A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Custom Pharmacy Innovations Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Custom Pharmacy Innovations Inc has been assigned the NPI (National Provider Identifier) 1073606240. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Custom Pharmacy Innovations Inc's physical address?
The Custom Pharmacy Innovations Inc is physically located at Po Box 489, in the city of Nicoma Park, OK, with the postal code 730660489.
What is the Custom Pharmacy Innovations Inc's specialty and taxonomy code?
The Custom Pharmacy Innovations Inc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
When did Custom Pharmacy Innovations Inc receive its 1073606240 assignment?
The Custom Pharmacy Innovations Inc was assigned its 1073606240 on 2006-10-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Custom Pharmacy Innovations Inc last refreshed?
The information related to the Custom Pharmacy Innovations Inc, including its address, specialty, and other relevant details, was last updated on 2018-04-24.
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