Organization
CUSTOM PHARMACY INNOVATIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHANA KABIR (MANAGING OWNER)
(405) 769-8585
Entity
Organization
Contact information
Practice address
10911 NE 23RD, NICOMA PARK, OK 73066
(405) 769-8585
(405) 769-8787
Mailing address
PO BOX 489, NICOMA PARK, OK 73066-0489
(405) 769-8585
(405) 769-8787
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18135
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095530A
—
OK
01
—
2077070
PK
—
Enumeration date
10/02/2006
Last updated
10/28/2025
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