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Organization
CUSTOM MEDICINE PHARMACY INC
Active
Organization
CUSTOM MEDICINE PHARMACY INC
Active
Other names
CUSTOM MEDICINE PHARMACENTER
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BECKMAN RPH (PRESIDENT)
(978) 524-4800
Entity
Organization
Contact information
Practice address
25 CABOT ST, BEVERLY, MA 01915-5048
(978) 524-4800
(978) 524-4809
Mailing address
25 CABOT ST, BEVERLY, MA 01915-5048
(978) 524-4800
(978) 524-4809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
3323
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2039566
PK
—
Enumeration date
05/23/2006
Last updated
12/18/2016
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