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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