Organization
BACKEL CORPORATION
Active
Other names
CUSTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ALEXANDER BACKEL RPH (OWNER)
(740) 942-2726
Entity
Organization
Contact information
Practice address
241 SOUTH MAIN ST, CADIZ, OH 43907
(740) 942-2726
(740) 942-2182
Mailing address
241 SOUTH MAIN ST, CADIZ, OH 43907
(740) 942-2726
(740) 942-2182
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02-1249300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2226095
—
OH
05
—
6001237000
—
WV
Enumeration date
01/04/2007
Last updated
04/10/2012
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