# CUSTOM PHARMACY SOLUTIONS

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

## Provider details

- **NPI number:** 1902949068
- **Authorized official:** LAURIE DICKINSON PHARM.D. (PHARMACIST IN CHARGE)
- **Authorized official phone:** (205) 988-3383

## Contact information

- **Practice address:** 2637 VALLEYDALE RD, HOOVER, AL 35244-2075
- **Practice address phone:** (205) 988-3383
- **Practice address fax:** (202) 988-3553
- **Mailing address:** 2637 VALLEYDALE RD, HOOVER, AL 35244-2075
- **Mailing address phone:** (205) 988-3383
- **Mailing address fax:** (205) 988-3553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 112911 | AL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 07/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1996004 | PK | — |