# BACKEL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CUSTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154478105
- **Authorized official:** MR. JASON ALEXANDER BACKEL RPH (OWNER)
- **Authorized official phone:** (740) 942-2726

## Contact information

- **Practice address:** 241 SOUTH MAIN ST, CADIZ, OH 43907
- **Practice address phone:** (740) 942-2726
- **Practice address fax:** (740) 942-2182
- **Mailing address:** 241 SOUTH MAIN ST, CADIZ, OH 43907
- **Mailing address phone:** (740) 942-2726
- **Mailing address fax:** (740) 942-2182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 02-1249300 | OH | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 04/10/2012