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CUSTOM MADE PHARMACY INC

Medical Equipment Supplier Yellow Pages

Sherman Oaks, California

Provider NPI: 1932231560

Organization Information:
Organization Name:  CUSTOM MADE PHARMACY INC


Practice Location:
13322 RIVERSIDE DR  SHERMAN OAKS, CA 91423 US
Tel: 818-789-8111  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
CA48534

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER562628901
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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