Organization
CUSTOM APOTHECARY SOLUTIONS
Active
Other names
CAS
Organization subpart
No
Provider details
NPI number
Authorized official
VONDA ROSETTA WALL (ADMINISTRATOR)
(719) 416-6925
Entity
Organization
Contact information
Practice address
2817 RED OAK LN, PEARLAND, TX 77584-1073
(713) 416-6325
Mailing address
2817 RED OAK LN, PEARLAND, TX 77584-1073
(713) 416-6325
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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