# CUSTOM MEDICINE PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CUSTOM MEDICINE PHARMACENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053366898
- **Authorized official:** WILLIAM BECKMAN RPH (PRESIDENT)
- **Authorized official phone:** (978) 524-4800

## Contact information

- **Practice address:** 25 CABOT ST, BEVERLY, MA 01915-5048
- **Practice address phone:** (978) 524-4800
- **Practice address fax:** (978) 524-4809
- **Mailing address:** 25 CABOT ST, BEVERLY, MA 01915-5048
- **Mailing address phone:** (978) 524-4800
- **Mailing address fax:** (978) 524-4809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | 3323 | MA | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 12/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2039566 | PK | — |