Custom Rx Inc in Wichita - Compounding Pharmacy
Custom Rx Inc - NPI 1811091879
Custom Rx Inc is a Compounding Pharmacy in Wichita, Kansas. Custom Rx Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Custom Rx Inc is 1811091879. The last update date is 2023-07-12.
Custom Rx Inc's current location address is 3510 N Ridge Rd Ste 900, Wichita, Kansas. You can contact this provider via phone number 3167212626 and fax number 3167214823. The mailing address for Custom Rx Inc is 3510 N Ridge Rd Ste 900, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Rx Inc |
|---|---|
| Address | 3510 N Ridge Rd Ste 900, Wichita, Kansas |
| Phone Number | 3167212626 |
| Fax Number | 3167214823 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Branam L Nicholas |
| Credentials | PHARM.D. |
| Telephone Number | 3167212626 |
NPI Number Detail
| NPI Number | 1811091879 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2023-07-12 |
Provider Mailing Address Detail
| Address | 3510 N Ridge Rd Ste 900 |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672051225 |
| Phone Number | 3167212626 |
| Fax Number | 3167214823 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | PH00004390 |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2027079 | PK | ||
| 100445230C | KS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Custom Rx Inc?
The Custom Rx Inc has been issued the NPI (National Provider Identifier) 1811091879 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Custom Rx Inc is physically located?
The Custom Rx Inc is physically situated at the following address: 3510 N Ridge Rd Ste 900, Wichita, KS, 672051225.
What is Custom Rx Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Custom Rx Inc is Compounding Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0004X.
On what date did the Custom Rx Inc receive the assignment of its 1811091879 from the Centers for Medicare & Medicaid Services?
The Custom Rx Inc was issued its 1811091879 by the Centers for Medicare & Medicaid Services on 2006-09-12.
When was the Custom Rx Inc's information last updated?
The Custom Rx Inc's information was last updated on 2023-07-12.
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